NPIMap

Individual provider Active NPI

Sumit Tiwari, MD

  • Cardiovascular Disease Physician
  • East Alton, IL
National Provider Identifier
1215048574
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036153016 Issued in IL
Practice address
2 Terminal Dr Ste 4B
East Alton, IL 62024-2296
Phone
(618) 216-8127
Fax
(618) 216-8128
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036153016 IL Primary
Internal Medicine Physician 207R00000X 12760 ND
Cardiovascular Disease Physician 207RC0000X 12760 ND

Addresses

Primary practice location

2 Terminal Dr Ste 4B
East Alton, IL 62024-2296

Mailing address

2 Terminal Dr Ste 4B
East Alton, IL 62024-2296
Phone (618) 216-8127

Other identifiers 1

IdentifierTypeStateIssuer
18920MedicaidND

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)
Direct Messaging Address sumit.tiwari.1@9559.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200803000994 IL Practitioner - Cardiovascular Disease (Cardiology) 5597909952 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036153016ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC Current Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jan 23, 2025 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Aug 1, 2020 Accepting new patients
Touchette Regional Hospital Inc Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Southern Illinois Healthcare Foundation, Inc Family Medicine CurrentSince Jan 23, 2025 Accepting new patients
Southern Illinois Healthcare Foundation Inc Family Medicine Current Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4600 Memorial Dr
Ste W1
Belleville, IL 62226
Phone (618) 233-3066

180 S 3rd St
Ste 350
Belleville, IL 62220
Phone (618) 213-7933

2 Terminal Dr
Ste 4B
East Alton, IL 62024
Phone (618) 216-8127

6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

2041 Goose Lake Rd
Sauget, IL 62206

2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473

Interoperability endpoints

  • Direct secure messaging: sumit.tiwari.1@9559.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Illinois Healthcare Foundation Inc 117 clinicians
Touchette Regional Hospital Inc 46 clinicians

Practice addresses (Care Compare)

2 Terminal Dr
Suite 4B
East Alton, IL 62024-2296
Phone (618) 216-8127

5900 Bond Ave
Cahokia Heights, IL 62207-2326
Phone (618) 332-3060

Hospital & facility affiliations

  • Touchette Regional Hospital Inc Hospital, Centreville, IL, CCN 140077
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • Alton Memorial Hospital Hospital, Alton, IL, CCN 140002
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1215048574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TERMINAL DR STE 4B",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242296",
            "telephone_number": "618-216-8127",
            "fax_number": "618-216-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TERMINAL DR STE 4B",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242296",
            "telephone_number": "618-216-8127",
            "fax_number": "618-216-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIWARI",
        "first_name": "SUMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036153016",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "12760",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ND",
            "license": "12760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18920",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4600 Memorial Dr Ste W1",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sumit.tiwari.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2 Terminal Dr Ste 4B",
            "city": "East Alton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620242296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Alton, IL

Sources for this page

Verify at the official NPI Registry.