Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Douglas Craig Maibenco, MD PHD

Surgery Physician in Decatur, IL · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366424061

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Registry record

Entity type Individual (Type 1)

Name Douglas Craig Maibenco

Credential MD PHD

Sex Male

Practice address 1730 E Lake Shore Dr, Decatur, IL, 62521

Phone (217) 329-1000

Fax (217) 329-1055

Enumeration date Nov 17, 2005

Last updated in NPPES Jan 6, 2022

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 036098825 (IL) Primary

Other identifiers

Identifier	Type	State	Issuer
036098825	Medicaid	IL	-
CI8411	Other	-	MEDICARE TRAVELERS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1366424061 active?

Yes, as of the latest NPPES snapshot, NPI 1366424061 is active (record last updated 2022-01-06).

How do I verify Douglas Maibenco's NPI record?

Cross-check NPI 1366424061 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-06.