SAMUEL DEAN FOX M.D.
NPI 1881891240
General Practice in Peoria, IL

Q: What is Samuel Fox's NPI number?

The NPI number for Samuel Fox is 1881891240. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Q: What is Samuel Fox's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Fox was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2007PECOS Enrolled

3525 N UNIVERSITY ST, PEORIA, IL 61604(309) 886-9172(309) 509-4045 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Aug 15, 2024, Jun 13, 2023 (3 updates tracked since 2023).

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About Samuel Dean Fox M.d. NPPES

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

SAMUEL DEAN FOX M.D. (NPI 1881891240) is an individual general practice provider in Peoria, Illinois, licensed in Florida (ME169992) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Crystal River, and is a graduate of Creighton University School Of Medicine (2007).

NPPES Registry Identity

NPI1881891240

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameSAMUEL DEAN FOXCredential: M.D.

Location Address3525 N UNIVERSITY STPeoria, IL 61604-1324

Mailing AddressPo Box 9727Peoria, IL 61612-9727 · (309) 886-9172

Phone(309) 886-9172

Fax(309) 509-4045

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2007

Enumeration DateJune 29, 2007

Last NPPES UpdateFebruary 19, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2026

✔ NPI 1881891240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ME169992

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 4301090776 (MI)

3525 N UNIVERSITY ST, Peoria, IL 61604

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Secondary Practice Location 1

Location 1927 N Citrus AveCrystal River, FL 34428-3422 · Phone (352) 565-7342

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Dean Fox M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133390669

PECOS Enrollment IDI20250623002758

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.

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Other Providers at the Same Location NPPES 19

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

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