MR. SUSHILKUMAR MAHABIRPRASAD TIBREWALA (M.D.) – Gastroenterology Physician, NPI 1457366858
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
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Provider Addresses for MR. SUSHILKUMAR MAHABIRPRASAD TIBREWALA (M.D.)
Pine Lake Drive, Carbondale, Jackson County, Illinois, 62901, United States
CARBONDALE, IL 629015410
Phone: (618) 998-8885
Fax: (618) 998-8886
Type: Mailing
3301, Patriot Court, Eden Park, Herrin, Williamson County, Illinois, 62948, United States
HERRIN, IL 629483782
Phone: (618) 998-8885
Fax: (618) 998-8886
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $2,868.
Total Amount is formed as General ($2,868) + Research ($0) + Ownership ($0) = $2,868.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Boston Scientific Corporation ($1,293).
Total Amount
$2,868
General + Research + Ownership
Payments
36
Total payment records
General Amount
$2,868
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,293 |
| ABBVIE INC. | $561 |
| Janssen Biotech, Inc. | $195 |
| Endogastric Solutions, Inc | $154 |
| Ipsen Biopharmaceuticals, Inc | $150 |
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: 2003-12-15
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 |
|---|---|---|---|---|
| I20031215000163 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 275 | 270 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 222 | 216 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 96 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 108 | 104 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 82 | 82 | $0 |
Insurance plans in this area (ZIP 62901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | IL | 45378 | Diagnostic examination of large bowel using an endoscope | 121 | 120 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Family Practice | IL | |
| Hospitalist, Internal Medicine | IL | |
| Pulmonary Disease | NM | |
| Internal Medicine, Family Practice | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| H O S P I T A L I S T | MO | |
| Neurology, Critical Care (Intensivists) | IN |
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