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GASTROENTEROLOGY CARE OF SOUTHERN ILLINOIS, LLC
NPI 1609914183
Internal Medicine - Gastroenterology in Herrin, IL

Active since February 04, 2007
3301 PATRIOT CT, HERRIN, IL 62948(618) 998-8885(618) 998-8886 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 4, 2025, Sep 11, 2018 (2 updates tracked since 2018).

About Gastroenterology Care Of Southern Illinois, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GASTROENTEROLOGY CARE OF SOUTHERN ILLINOIS, LLC (NPI 1609914183), doing business as Sushilkumar Tibrewala, Md, is a healthcare organization registered as a gastroenterology in Herrin, Illinois and active in the NPI registry since February 2007. The organization lists Sushilkunar Mahabirprasad Tibrewala, President, as its authorized official.

NPPES Registry Identity

NPI1609914183
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY CARE OF SOUTHERN ILLINOIS, LLC
Location Address3301 PATRIOT CTHerrin, IL 62948-3782
Mailing Address24 Pine Lake DrCarbondale, IL 62901-5410 · (618) 534-1935 · Fax (618) 998-8886
Phone(618) 998-8885
Fax(618) 998-8886
Organization SubpartNo
Authorized OfficialSushilkunar Mahabirprasad TibrewalaPresident · (618) 998-8885
Enumeration DateFebruary 4, 2007
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1609914183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036-073571
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3301 PATRIOT CT, Herrin, IL 62948
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Other Names 1

Doing Business AsSushilkumar Tibrewala, Md

Other Identifiers 5

Other173109IL · Healthlink Ppo
Other046565IL · Health Alliance
Other833199720IL · Aetna
Other0010023397IL · Bcbs Of Il
Medicaid036073571IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SUSHILKUMAR MAHABIRPRASAD TIBREWALA M.D.
Internal Medicine (Gastroenterology)
3301 PATRIOT CT
HERRIN, IL 62948
Williamson County (618) 998-8885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gastroenterology Care Of Southern Illinois, LLC's NPI number?

The NPI number for Gastroenterology Care Of Southern Illinois, LLC is 1609914183. It was assigned to this organization in the NPPES registry on February 4, 2007. The provider is doing business as Sushilkumar Tibrewala, MD.

Where is Gastroenterology Care Of Southern Illinois, LLC located?

Gastroenterology Care Of Southern Illinois, LLC is located at 3301 Patriot Ct, Herrin, IL 62948. The listed phone number is (618) 998-8885.

What is Gastroenterology Care Of Southern Illinois, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Gastroenterology Care Of Southern Illinois, LLC was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.