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DR. ANIL SUWAL M.D.
NPI 1851511422
Family Medicine in Winchester, VA

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment
607 E JUBAL EARLY DR, WINCHESTER, VA 22601(540) 536-2232(540) 536-2205 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Jan 23, 2023, Mar 8, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Anil Suwal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANIL SUWAL M.D. (NPI 1851511422) is an individual family medicine provider in Winchester, Virginia, licensed in Virginia (0101-245891) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1851511422
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANIL SUWALCredential: M.D.
Location Address607 E JUBAL EARLY DRWinchester, VA 22601-5178
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100 · Fax (540) 224-5684
Phone(540) 536-2232
Fax(540) 536-2205
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 26, 2007
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1851511422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101-245891✔ Licensed in WV · 26831✔ Licensed in MI · 4301088613
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
607 E JUBAL EARLY DR, Winchester, VA 22601
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Secondary Practice Locations 8

Location 1100 Oak Lee DrRanson, WV 25438-4879 · Phone (304) 930-0001 · Fax (681) 252-1843
Location 2415A South StFront Royal, VA 22630-2115 · Phone (540) 636-0495
Location 3160 Merchant St Ste 200Winchester, VA 22603-4772 · Phone (540) 536-5950
Location 465 Riverton Commons DrFront Royal, VA 22630-6768 · Phone (540) 635-0700
Location 597 Administrative DrMartinsburg, WV 25404-6378 · Phone (304) 350-3200
Location 633820 Old Valley Pike Ste 2Strasburg, VA 22657-3793 · Phone (540) 459-1310
Location 7120 Campus Dr # 101Martinsburg, WV 25404-7552 · Phone (681) 247-1250
Location 85301 Main StMount Jackson, VA 22842-9649 · Phone (540) 459-1250

Other Identifiers 2

Other26831WV · State License
Other0101245891VA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anil Suwal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749333243
PECOS Enrollment IDI20090731000062, I20250818001176
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Anil Suwal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Regional Enterprises, Inc
Same address
Urgent Care
607 E JUBAL EARLY DR
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 77 clinicians in this Medicare group
NPI 1235178591 (540) 536-2221
East Mountain Health Physicians, Inc.
15 mi
Rural Health
4803 GERRARDSTOWN RD
Inwood, WV 25428
  • Reassigned Medicare billing, West Virginia enrollment
  • 135 clinicians in this Medicare group
NPI 1033681150 (304) 821-9011
Northern Virginia Carenow Urgent Care, LLC
42 mi
Urgent Care
46200 POTOMAC RUN PLZ
Sterling, VA 20164
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 14 clinicians in this Medicare group
NPI 1548702616 (615) 372-3359

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KATHRYN MARIE HAMER PA-S
Physician Assistant
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Winchester City (540) 536-5100
JOSEPH NORTON II NP
Nurse Practitioner (Family)
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Winchester City (540) 536-2232
BRITTANY MORGAN MILLS DNP
Nurse Practitioner (Family)
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Winchester City (540) 536-2232
MS. KRISTINA MARIE WAUGH FNP-C
Nurse Practitioner (Family)
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Winchester City (540) 536-2232
KATELYN NICEWANDER PA-C
Physician Assistant
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Winchester City (540) 536-2232
SHARRISA LYNN FLEMING FNP
Nurse Practitioner (Family)
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Winchester City (540) 536-2232
VALLEY REGIONAL ENTERPRISES INC OCCUPATIONAL HEALTH
Clinic/Center (Occupational Medicine)
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Winchester City (540) 636-0259
LAUREN MOORE
Physician Assistant
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Winchester City (540) 536-2232

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 Anil Suwal's NPI number?

The NPI number for Anil Suwal is 1851511422. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Anil Suwal located?

Anil Suwal practices at 607 E Jubal Early Dr, Winchester, VA 22601. The listed phone number is (540) 536-2232.

What is Anil Suwal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anil Suwal enrolled in Medicare?

Yes. Anil Suwal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Anil Suwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anil Suwal reassigns Medicare benefits to 3 organizations: Valley Regional Enterprises, Inc (Winchester, VA), East Mountain Health Physicians, Inc. (Inwood, WV) and Northern Virginia Carenow Urgent Care, LLC (Sterling, VA). Each 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 Anil Suwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anil Suwal accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Anil Suwal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anil Suwal was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.