Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Osama Al Deyabat, MBBS

Individual provider Ophthalmology Physician · NPI 1174255053

Osama Al Deyabat, MBBS is an Ophthalmology in Peoria, Illinois. Qualified in 2016, 10 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2022
Specialties on file
3
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

4927 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone: (309) 308-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 Ne Glen Oak Ave, Peoria, IL 61603-3106 — (309) 308-3500

Specialties & licences

Pediatric Ophthalmology and Strabismus Specialist Physician (primary) Taxonomy 207WX0110X · Licence 036171176 (IL)
Ophthalmology Physician Taxonomy 207W00000X · Licence 036171176 (IL)
Neuro-ophthalmology Physician Taxonomy 207WX0109X · Licence 036171176 (IL)

Record details

NPI number1174255053
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedJune 29, 2022
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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