Sumit Tiwari, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in East Alton, Illinois. He graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Southern Illinois Healthcare Foundation, Inc. and his current practice location is
2 Terminal Dr Ste 4b, East Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 216-8127.
Sumit Tiwari is licensed to practice in Illinois (license number 036153016) 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 1215048574.
Physician's Profile
| Full Name | Sumit Tiwari |
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| Gender | Male |
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| Speciality | Cardiovascular Disease (cardiology) |
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| Experience | 24 Years |
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| Location | 2 Terminal Dr Ste 4b, East Alton, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sumit Tiwari graduated from medical school in 2002
NPI Data:
- NPI Number: 1215048574
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 05/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597909952
- Enrollment ID: I20200803000994
Medical Identifiers
Medical identifiers for Sumit Tiwari such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215048574 | NPI | - | NPPES |
| 18920 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036153016 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 12760 (North Dakota) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 12760 (North Dakota) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 115 |
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. Sumit Tiwari allows following entities to bill medicare on his behalf.
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609813500
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641 |
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| Entity Name | Fairview Heights Medical Group Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650 |
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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. Sumit Tiwari 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 Address | Practice Location Address |
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Sumit Tiwari, MD
2 Terminal Dr Ste 4b,
East Alton, IL 62024-2296
Ph: (618) 216-8127 | Sumit Tiwari, MD
2 Terminal Dr Ste 4b,
East Alton, IL 62024-2296
Ph: (618) 216-8127 |
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