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DR. KEITH LEWIS FABRIQUE MD
NPI 1225196710
Preventive Medicine - Occupational Medicine in Decatur, IL

Active since December 05, 2006PECOS Enrolled
1750 E LAKE SHORE DR, LOWER LEVEL, DECATUR, IL 62521(217) 425-2732(217) 425-4778 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Keith Lewis Fabrique Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH LEWIS FABRIQUE MD (NPI 1225196710) is an individual occupational medicine provider in Decatur, Illinois, licensed in Illinois (036050458) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225196710
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameDR. KEITH LEWIS FABRIQUECredential: MD
Location Address1750 E LAKE SHORE DR, LOWER LEVELDecatur, IL 62521
Mailing Address1750 E Lake Shore Dr, Lower LevelDecatur, IL 62521 · (217) 425-2732 · Fax (217) 425-4778
Phone(217) 425-2732
Fax(217) 425-4778
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1225196710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License✔ Licensed in IL · 036050458
Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036050458 (IL)
1750 E LAKE SHORE DR, Decatur, IL 62521
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith Lewis Fabrique Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SURGICAL SPECIALISTS OF CENTRAL ILLINOIS SC
Surgery
1750 E LAKE SHORE DR, STE 200
DECATUR, IL 62521
Macon County (217) 428-6300
JOHN JOSEPH WHITE MD
Surgery
1750 E LAKE SHORE DR, STE 200
DECATUR, IL 62521
Macon County (217) 428-6300
JATOI CLINIC, LTD.
Medical Genetics, Ph.D. Medical Genetics
1750 E LAKE SHORE DR, SUITE 100
DECATUR, IL 62521
Macon County (217) 464-2505
DR. DAVID W HAYMES JR. MD
Plastic Surgery
1750 E LAKE SHORE DR, SUITE 300
DECATUR, IL 62521
Macon County (217) 464-1050
DR. VIKRAM BARPUJARI M.D.
Internal Medicine (Gastroenterology)
1750 E LAKE SHORE DR, SUITE 310
DECATUR, IL 62521
Macon County (217) 464-1220
VIKRAM S KOTWAL M.D
Internal Medicine (Gastroenterology)
1750 E LAKE SHORE DR, SUITE 310
DECATUR, IL 62521
Macon County (217) 464-1220
DR. JON FREDRICK PETERSEN M.D.
Preventive Medicine (Occupational Medicine)
1750 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-1440
DR. CHINELO C ECHEAZU M.D.
Obstetrics & Gynecology
1750 E LAKE SHORE DR, SUITE 110
DECATUR, IL 62521
Macon County (217) 872-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Fabrique's NPI number?

The NPI number for Keith Fabrique is 1225196710. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Keith Fabrique located?

Keith Fabrique practices at 1750 E Lake Shore Dr Lower Level, Decatur, IL 62521. The listed phone number is (217) 425-2732.

What is Keith Fabrique's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Keith Fabrique enrolled in Medicare?

Yes. Keith Fabrique is registered in the Medicare PECOS enrollment system.

What insurance does Keith Fabrique accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Keith Fabrique as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Fabrique was last updated on December 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.