KEITH IZBAN (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1548211139

KEITH IZBAN (M.D.) is a healthcare provider. based in Peoria, Illinois. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 036094821 (IL). The NPI Number for KEITH IZBAN (M.D.) is 1548211139

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
KEITH IZBAN (M.D.)
NPI
1548211139
Phone
Not provided
Address
PO BOX 3680
Enumeration Date
16 May 2006
Last Update Date
31 August 2011

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
6308331400
Graduation Year
1994 (32 years ago)
PAC ID
7517960339
Group Practice PAC ID
6507834496
Professional Enrollment ID
I20110124000310
Address ID
IL601265658EL155XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

766 PATHOLOGY in IL

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Provider Addresses for KEITH IZBAN (M.D.)

  • Peoria Post Office, 10700, North 85th Avenue, Peoria, Maricopa County, Arizona, 85345, United States

    PEORIA, IL 616123680

    Phone:

    Type: Mailing

  • Elmhurst Hospital, 155, East Brush Hill Road, Elmhurst, DuPage County, Illinois, 60126, United States

    ELMHURST, IL 601265658

    Phone: (630) 834-0610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110124000310IPathologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity977552$0
86334Immunologic analysis technique on serum (immunofixation)352257$0
84165Protein measurement, serum302208$0
85060Blood smear interpretation by physician with written report285260$0
88311Preparation of tissue for examination by removing any calcium present207196$0
View full utilization report →

Insurance plans in this area (ZIP 61612)

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Provider's Procedures

KEITH IZBAN (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYIL88342Tissue or cell analysis by immunologic technique2719

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507834496View full group profile
NameSpecialtyState
P A T H O L O G YMA
Emergency MedicineIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL

Reviews

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Frequently asked questions

Does KEITH IZBAN (M.D.) have a public NPI I can cite?
Public records show KEITH IZBAN (M.D.) under NPI 1548211139.
Is KEITH IZBAN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists KEITH IZBAN (M.D.) as active.
How should patients interpret KEITH IZBAN (M.D.)'s specialty?
The extract shows Anatomic Pathology & Clinical Pathology Physician for KEITH IZBAN (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to KEITH IZBAN (M.D.)?
The directory associates KEITH IZBAN (M.D.) with Peoria, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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