Sushilkumar Mahabirprasad Tibrewala, M.D.
Gastroenterology Physician · Herrin, IL
Sushilkumar Mahabirprasad Tibrewala, M.D. is a gastroenterology physician with a practice address in Herrin, Illinois, and NPI 1457366858, issued on Jul 31, 2006. Check the license (Illinois 036-073571, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Sushilkumar Mahabirprasad Tibrewala
- Credential
- M.D.
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- 036-073571 IL
Self-reported in NPPES; status is on the state search - Practice location
- 3301 Patriot CT, Herrin, IL 62948
- Phone
- (618) 998-8885
- Enumerated
- Jul 31, 2006
- Record last updated
- Sep 11, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (618) 998-8886
- Medicaid ID
- 036073571 IL
- Medicare enrollment
- Enrolled (PECOS I20031215000163); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 887 in Illinois → Look up another NPI →
Verify Sushilkumar Mahabirprasad Tibrewala in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036-073571Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
17% more Medicare Part D claims than the average gastroenterology physician in 2024
946 Medicare Part D claims for 264 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 6% of claims.
Most prescribed
- Famotidine531 claims
- Pantoprazole Sodium166 claims
- Omeprazole66 claims
- Mesalamine29 claims
- Sucralfate27 claims
- Metronidazole12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 76.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,909.49
20 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Deaconess Illinois Specialty Clinic, Inc.Marion, IL
- Gastroenterology Care OF Southern Illinois LLCHerrin, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sushilkumar Mahabirprasad Tibrewala among 887 gastroenterology physician records in Illinois
Sushilkumar Mahabirprasad Tibrewala, M.D. is one of 887 gastroenterology physician records with a practice address in Illinois. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.
- NPI issued2006 · 15% of these records are older, 52% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated1977 · median 2003 among the 643 with a school on file
- Record last updated2018 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
5 gastroenterology physician records list a practice address in Herrin
They are 5 of the 419 NPPES records with a practice address in Herrin, and 887 gastroenterology physician records in Illinois.
All 887 in Illinois → Every provider in Herrin → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Jeffrey Jacobs, M.D.Herrin, IL 629481174524136
- Mack McCain, M.D.Herrin, IL 629481558321190
- Jimmy Morrison, MDHerrin, IL 629481881782654
- Gregory Szych, DOHerrin, IL 629481841268521
- Nader Dababneh, M.D.Carbondale, IL 629011821065392
- Zahoor Makhdoom, MDCarbondale, IL 629011982667309
- Melissa Martinez Mateo, M.D.Carbondale, IL 629011003124280
- Saeed Zamir, M.D.Du Quoin, IL 628321134113400
Common questions
What is Sushilkumar Mahabirprasad Tibrewala, M.D.'s NPI number?
Sushilkumar Mahabirprasad Tibrewala, M.D.'s National Provider Identifier (NPI) is 1457366858, issued on Jul 31, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Sushilkumar Mahabirprasad Tibrewala, M.D. located?
The NPPES record lists a practice address at 3301 Patriot CT, Herrin, IL, 62948. Phone: (618) 998-8885. Providers update this record themselves, so call before visiting.
How can I verify Sushilkumar Mahabirprasad Tibrewala, M.D.'s license?
NPPES lists Illinois license number 036-073571, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sushilkumar Mahabirprasad Tibrewala, M.D. prescribe under Medicare Part D?
In 2024, Sushilkumar Mahabirprasad Tibrewala, M.D. had 946 Medicare Part D claims for 264 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Sushilkumar Mahabirprasad Tibrewala, M.D.'s MIPS final score?
The 2023 MIPS final score is 76.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.