DR. WAEL MOHAMMAD OTAIBI D.O. NPI 1255452124

NPI Details

DR. Wael Mohammad Otaibi, D.O. is a surgery in Decatur, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Wael Mohammad Otaibi, D.O. NPI is 1255452124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1770 E LAKE SHORE DR STE 105
DECATUR, IL
ZIP 62521-800
Phone: (217) 329-1000
Fax: (217) 329-1055

The NPI 1255452124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS:36465)
• Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 4/2/2007 and was last updated on 11/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: