SUMIT TIWARI (MD) – Internal Medicine Physician, NPI 1215048574
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL
Provider Addresses for SUMIT TIWARI (MD)
2 TERMINAL DR STE 4B
EAST ALTON, IL 620242296
Phone: (618) 216-8127
Fax: (618) 216-8128
Type: Location
Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States
BELLEVILLE, IL 622265359
Phone: (618) 233-3066
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 196 Open Payments records for all available years, with a total value of $3,333.
Total Amount is formed as General ($3,333) + Research ($0) + Ownership ($0) = $3,333.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($428).
Total Amount
$3,333
General + Research + Ownership
Payments
196
Total payment records
General Amount
$3,333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $428 |
| Amgen Inc. | $386 |
| PFIZER INC. | $206 |
| Merck Sharp & Dohme LLC | $161 |
| Shockwave Medical, Inc | $142 |
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: 2020-08-03
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 |
|---|---|---|---|---|
| I20200803000994 | I | Cardiovascular Disease (Cardiology) | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 2,018 | 1,435 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 553 | 335 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 496 | 203 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 488 | 484 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 207 | 190 | $0 |
Insurance plans in this area (ZIP 62024)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | ND | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 4595 | 2450 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| Family Practice | ID | |
| Mental Health Counselor | IL | |
| - | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice, Emergency Medicine | IL | |
| Cardiovascular Disease (Cardiology) | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.