CENTRAL ILLINOIS ASSOCIATES LTD
NPI 1558425462
Anesthesiology - Pain Medicine in Decatur, IL

Active since December 22, 2006CLIA 14D1040558 · Waiver
1800 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-5839(217) 464-1671 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Central Illinois Associates Ltd NPPES

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

CENTRAL ILLINOIS ASSOCIATES LTD (NPI 1558425462) is a healthcare organization registered as a pain medicine in Decatur, Illinois and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Shane Fancher, President, as its authorized official.

NPPES Registry Identity

NPI1558425462
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameCENTRAL ILLINOIS ASSOCIATES LTD
Location Address1800 E LAKE SHORE DRDecatur, IL 62521-3810
Mailing Address1800 E Lake Shore DrDecatur, IL 62521-3810 · (217) 464-5839 · Fax (217) 464-1671
Fax(217) 464-1671
Organization SubpartNo
Authorized OfficialShane FancherPresident · (217) 464-5839
Enumeration DateDecember 22, 2006
Last NPPES UpdateJanuary 31, 2013
NPI 1558425462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X
1800 E LAKE SHORE DR, Decatur, IL 62521

Other Identifiers 2

Medicare ID-Type Unspecified576950IL · Medicare Group# Crnas
Medicare ID-Type Unspecified504240IL · Medicare Group# Docs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D1040558
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
May 11, 2025
Certificate Expiration Date
May 10, 2027
Laboratory Director
MOHAMMED DAWOOD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Central Illinois Associates Ltd to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CENTRAL ILLINOIS ASSOCIATES LTD

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Radiology (Diagnostic Radiology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Pathology (Anatomic Pathology & Clinical Pathology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Emergency Medicine
1800 E LAKE SHORE DR
DECATUR, IL 62521
Emergency Medicine
1800 E LAKE SHORE DR
DECATUR, IL 62521
Dietitian, Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Pathology (Anatomic Pathology & Clinical Pathology)
1800 E LAKE SHORE DR, DEPARTMENT OF PATHOLOGY
DECATUR, IL 62521
Dietitian, Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Speech-Language Pathologist
1800 E LAKE SHORE DR
DECATUR, IL 62521
Speech-Language Pathologist
1800 E LAKE SHORE DR
DECATUR, IL 62521
Speech-Language Pathologist
1800 E LAKE SHORE DR
DECATUR, IL 62521
General Practice
1800 E LAKE SHORE DR
DECATUR, IL 62521
Anesthesiology
1800 E LAKE SHORE DR, SUITE 2500
DECATUR, IL 62521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558425462, enumerated as an "organization" on December 22, 2006.

The provider is located at 1800 E LAKE SHORE DR DECATUR, IL 62521 and the phone number is (217) 464-5839.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.