Anil Suwal, M.D.
NPI 1851511422 · Family Medicine Physician · Winchester, VA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anil Suwal, M.D. is a Family Medicine Physician provider in Winchester, VA (NPI 1851511422).
Provider details
- NPI number
- 1851511422
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 26831 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
9 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
153 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 55 | $89 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 50 | $126 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 26 | $165 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 22 | $111 |
Typical Medicare-allowed amounts for these services range $89–$165 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Varicella-Zoster Ge/As01b/Pfbrand: Shingrix | 53 | 37 |
| Diph,pertuss(acell),tet Vac/Pfbrand: Adacel Tdap | 42 | 42 |
| Prednisone | 14 | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16 across 1 record (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
Additional practice locations (8)
- 415a South StFront Royal, VA 22630-2115Phone: (540) 636-0495
- 65 Riverton Commons DrFront Royal, VA 22630-6768Phone: (540) 635-0700
- 5301 Main StMount Jackson, VA 22842-9649Phone: (540) 459-1250
- 33820 Old Valley Pike Ste 2Strasburg, VA 22657-3793Phone: (540) 459-1310
- 160 Merchant St Ste 200Winchester, VA 22603-4772Phone: (540) 536-5950
- 120 Campus Dr # 101Martinsburg, WV 25404-7552Phone: (681) 247-1250
- 97 Administrative DrMartinsburg, WV 25404-6378Phone: (304) 350-3200
- 100 Oak Lee DrRanson, WV 25438-4879Phone: (304) 930-0001Fax: (681) 252-1843
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2023-03-07
- Certified
- 2023-01-23
Frequently asked questions
- What is Anil Suwal's NPI number?
- Anil Suwal's National Provider Identifier (NPI) is 1851511422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anil Suwal's specialty?
- Anil Suwal is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Anil Suwal located?
- Anil Suwal's practice location on file with NPPES is 607 E Jubal Early Dr, Winchester, VA 22601-5178.
- What is Anil Suwal's phone number?
- The practice phone number listed in the NPPES registry for Anil Suwal is (540) 536-2232.
- Does Anil Suwal accept Medicare?
- Anil Suwal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anil Suwal's NPI active?
- Yes — Anil Suwal's NPI (1851511422) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.