Sumeet Tewani, MD
NPI 1154597284 · Gastroenterology Physician · Rockford, IL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumeet Tewani, MD is a Gastroenterology Physician provider in Rockford, IL (NPI 1154597284).
Provider details
- NPI number
- 1154597284
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 242616 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
740 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 148 | $32 |
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 85 | $6 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 81 | $68 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 63 | $213 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 55 | $121 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 311 | 126 |
| Pantoprazole Sodium | 78 | 35 |
| Linaclotidebrand: Linzess | 46 | 13 |
| Ondansetronbrand: Ondansetron Odt | 37 | 11 |
| Famotidine | 36 | 14 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 25 | 24 |
| Sucralfate | 25 | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$392 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-08
- Last updated
- 2017-02-07
Frequently asked questions
- What is Sumeet Tewani's NPI number?
- Sumeet Tewani's National Provider Identifier (NPI) is 1154597284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumeet Tewani's specialty?
- Sumeet Tewani is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Sumeet Tewani located?
- Sumeet Tewani's practice location on file with NPPES is 401 Roxbury Rd, Rockford, IL 61107-5075.
- What is Sumeet Tewani's phone number?
- The practice phone number listed in the NPPES registry for Sumeet Tewani is (815) 397-7340.
- Does Sumeet Tewani accept Medicare?
- Sumeet Tewani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumeet Tewani's NPI active?
- Yes — Sumeet Tewani's NPI (1154597284) is active in the NPPES registry as of the last update on 2017-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.