JACQUELINE FABRICIUS – Pediatric Rheumatology Physician, NPI 1932631728
Pediatric Rheumatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
357 RHEUMATOLOGY in IL
Provider Addresses for JACQUELINE FABRICIUS
400 N LASALLE DR
#3205
CHICAGO, IL 60654
Phone: (703) 975-7786
Type: Mailing
225 E CHICAGO AVE
CHICAGO, IL 606112991
Phone: (312) 227-4000
Type: Location
411 E CHESTNUT ST # STREET3
LOUISVILLE, KY 402021713
Phone: (502) 588-4910
Type: Location
225 E Chicago Ave
Chicago, IL 606112991
Phone: (312) 227-4000
Type: Location
140, Valley Road, Jefferson Park Avenue, Charlottesville, Virginia, 22903, United States
CHARLOTTESVILLE, VA 229033284
Phone: (703) 975-7786
Type: Mailing
Duke University Hospital, 2301, Erwin Road, Crest Street, Durham, Durham County, North Carolina, 27710, United States
DURHAM, NC 277054699
Phone: (919) 684-6111
Type: Location
PO BOX 776879
CHICAGO, IL 606776879
Phone: (502) 559-9425
Fax: (502) 272-5339
Type: Mailing
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: 2024-09-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240910000798 | I | Rheumatology | KY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60654)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | KY | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | KY | |
| - | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| Diagnostic Radiology | IL | |
| Pediatric Medicine | IL | |
| Endocrinology, Internal Medicine, Pediatric Medicine | KY | |
| Nurse Practitioner | IL |
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