Nistha Rawal, DO
NPI 1801323159 · Gastroenterology Physician · Lake Barrington, IL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nistha Rawal, DO is a Gastroenterology Physician provider in Lake Barrington, IL (NPI 1801323159).
Provider details
- NPI number
- 1801323159
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 036.165378 (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
9 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
769 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 239 | $77 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 95 | $129 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 82 | $95 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 68 | $91 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 64 | $246 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 71 | 67 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 67 | 67 |
| Pantoprazole Sodium | 49 | 35 |
| Famotidine | 30 | 19 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-C | 25 | 24 |
| Omeprazole | 23 | 14 |
| Sodium Chloride/Nahco3/Kcl/Peg |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$899 across 40 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
- 2017-05-17
- Last updated
- 2023-08-09
- Certified
- 2023-08-09
Frequently asked questions
- What is Nistha Rawal's NPI number?
- Nistha Rawal's National Provider Identifier (NPI) is 1801323159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nistha Rawal's specialty?
- Nistha Rawal is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Nistha Rawal located?
- Nistha Rawal's practice location on file with NPPES is 22285 N Pepper Rd Ste 311, Lake Barrington, IL 60010-2541.
- What is Nistha Rawal's phone number?
- The practice phone number listed in the NPPES registry for Nistha Rawal is (847) 382-4410.
- Does Nistha Rawal accept Medicare?
- Nistha Rawal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nistha Rawal's NPI active?
- Yes — Nistha Rawal's NPI (1801323159) is active in the NPPES registry as of the last update on 2023-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.