Mr Sushilkumar Mahabirprasad Tibrewala, MD - Medicare Gastroenterology in Herrin, IL

Mr Sushilkumar Mahabirprasad Tibrewala, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Herrin, Illinois. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Gastroenterology Care Of Southern Illinois Llc and his current practice location is 3301 Patriot Ct, Herrin, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 998-8885.

Mr Sushilkumar Mahabirprasad Tibrewala is licensed to practice in Illinois (license number 036-073571) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457366858.

Contact Information

Mr Sushilkumar Mahabirprasad Tibrewala, MD
3301 Patriot Ct,
Herrin, IL 62948-3782
(618) 998-8885
(618) 998-8886

Map and Direction




Physician's Profile

Full NameMr Sushilkumar Mahabirprasad Tibrewala
GenderMale
SpecialityGastroenterology
Experience47 Years
Location3301 Patriot Ct, Herrin, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Sushilkumar Mahabirprasad Tibrewala graduated from medical school in 1977
  NPI Data:
  • NPI Number: 1457366858
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 09/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0749187276
  • Enrollment ID: I20031215000163

Medical Identifiers

Medical identifiers for Mr Sushilkumar Mahabirprasad Tibrewala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457366858NPI-NPPES
036073571MedicaidIL
833199720OtherILAETNA
0010023397OtherILBLUE CROSS/BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 036-073571 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Heartland Regional Medical CenterMarion, ILHospital
St Joseph Memorial HospitalMurphysboro, ILHospital
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gastroenterology Care Of Southern Illinois Llc52948313432

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Sushilkumar Mahabirprasad Tibrewala allows following entities to bill medicare on his behalf.
Entity NameGastroenterology Care Of Southern Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609914183
PECOS PAC ID: 5294831343
Enrollment ID: O20070507000114
Entity NameDeaconess Illinois Specialty Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972210235
PECOS PAC ID: 9830562016
Enrollment ID: O20230321001688

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Sushilkumar Mahabirprasad Tibrewala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Sushilkumar Mahabirprasad Tibrewala, MD
24 Pine Lake Dr,
Carbondale, IL 62901-5410

Ph: (618) 998-8885
Mr Sushilkumar Mahabirprasad Tibrewala, MD
3301 Patriot Ct,
Herrin, IL 62948-3782

Ph: (618) 998-8885

Reviews and Comments


Internal Medicine Doctors in Herrin, IL

Dr. Gowda Sharath, MD
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Practice Location: 405 Rushing Dr, Herrin, IL 62948
Phone: 618-993-3300    
Sareer Zia, MD
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Phone: 618-942-2171    Fax: 618-351-4929
Dr. Chante Thanh Trinh, M.D.
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Sherry Michele Williams, MD
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Practice Location: 3303 Logan Dr, Herrin, IL 62948
Phone: 618-998-8920    Fax: 618-998-8923
Dr. Abhish Koirala, M.D.
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Practice Location: 201 S 14th St, Herrin, IL 62948
Phone: 618-942-2171    Fax: 618-988-6166
Dr. Jeffrey Mark Jacobs, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 201 S 14th St, Herrin, IL 62948
Phone: 618-942-2171    Fax: 618-988-6166
Dr. Shannon J Hopen, D.O.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 201 S 14th St, Herrin Hospital, Herrin, IL 62948
Phone: 618-942-2171    Fax: 618-351-4929

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.