Sumul Raval, M.D.
NPI 1376526673 · Neurology Physician · West Long Branch, NJ
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumul Raval, M.D. is a Neurology Physician provider in West Long Branch, NJ (NPI 1376526673).
Provider details
- NPI number
- 1376526673
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MA07183700 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
8,160 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 4,878 | $78 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 792 | $130 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 708 | $117 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 652 | $129 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 342 | $172 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 56 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Donepezil Hcl | 416 | 117 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 326 | 101 |
| Memantine Hcl | 243 | 67 |
| Levetiracetam | 216 | 56 |
| Duloxetine Hcl | 184 | 55 |
| Primidone | 177 | 43 |
| Lamotrigine | 174 | 36 |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,644 across 110 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-21
- Last updated
- 2013-04-12
Frequently asked questions
- What is Sumul Raval's NPI number?
- Sumul Raval's National Provider Identifier (NPI) is 1376526673, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumul Raval's specialty?
- Sumul Raval is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Sumul Raval located?
- Sumul Raval's practice location on file with NPPES is 100 Hwy 36, West Long Branch, NJ 07764-1462.
- What is Sumul Raval's phone number?
- The practice phone number listed in the NPPES registry for Sumul Raval is (732) 229-6200.
- Does Sumul Raval accept Medicare?
- Sumul Raval is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumul Raval's NPI active?
- Yes — Sumul Raval's NPI (1376526673) is active in the NPPES registry as of the last update on 2013-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.