Sushilkumar Tibrewala, M.D.
NPI 1457366858 · Gastroenterology Physician · Herrin, IL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushilkumar Tibrewala, M.D. is a Gastroenterology Physician provider in Herrin, IL (NPI 1457366858).
Provider details
- NPI number
- 1457366858
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-073571 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
997 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) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 265 | $73 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 181 | $245 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 143 | $166 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 142 | $123 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 48 | $154 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Famotidine | 531 | 157 |
| Pantoprazole Sodium | 166 | 60 |
| Omeprazole | 66 | 19 |
| Mesalamine | 29 | — |
| Sucralfate | 27 | 11 |
| Metronidazole | 12 | 12 |
| Eluxadolinebrand: Viberzi | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,909 across 20 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
- 2006-07-31
- Last updated
- 2018-09-11
Frequently asked questions
- What is Sushilkumar Tibrewala's NPI number?
- Sushilkumar Tibrewala's National Provider Identifier (NPI) is 1457366858, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushilkumar Tibrewala's specialty?
- Sushilkumar Tibrewala is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Sushilkumar Tibrewala located?
- Sushilkumar Tibrewala's practice location on file with NPPES is 3301 Patriot Ct, Herrin, IL 62948-3782.
- What is Sushilkumar Tibrewala's phone number?
- The practice phone number listed in the NPPES registry for Sushilkumar Tibrewala is (618) 998-8885.
- Does Sushilkumar Tibrewala accept Medicare?
- Sushilkumar Tibrewala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushilkumar Tibrewala's NPI active?
- Yes — Sushilkumar Tibrewala's NPI (1457366858) is active in the NPPES registry as of the last update on 2018-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.