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

Q: 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.

Q: What is Anil Suwal's specialty?

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

Q: 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.

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: August 16, 2026.

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

On this page

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 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

Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

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, I20160615001461, 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.

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