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

Q: 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.

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: October 18, 2026.

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gastroenterology Care Of Southern Illinois, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gastroenterology Care Of Southern Illinois, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sushilkumar Tibrewala, M.D.

Gastroenterology

NPI 1457366858

3301 PATRIOT CT
Herrin, IL 62948

(618) 998-8885

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Gastroenterology Care Of Southern Illinois, LLC enrolled in Medicare?

Yes. Gastroenterology Care Of Southern Illinois, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gastroenterology Care Of Southern Illinois, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Gastroenterology Care Of Southern Illinois, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 15 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.