Sumul N. Raval, M.D.
Neurology Physician · West Long Branch, NJ
Sumul N. Raval, M.D. is a neurology physician with a practice address in West Long Branch, New Jersey, and NPI 1376526673, issued on Nov 21, 2005. Check the license (New Jersey 25MA07183700, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Sumul N. Raval
- Credential
- M.D.
- Primary taxonomy
- Neurology Physician 2084N0400X
- License number
- 25MA07183700 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 100 Hwy 36, West Long Branch, NJ 07764
- Phone
- (732) 229-6200
- Enumerated
- Nov 21, 2005
- Record last updated
- Apr 12, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (732) 229-6201
- Medicaid ID
- 0006394 NJ
- Medicare enrollment
- Enrolled (PECOS I20040429000693); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest neurology physician records → All 577 in New Jersey → Look up another NPI →
Also registered at 100 Hwy 36
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Patrick Lee, MDHematology (Internal Medicine) Physician1356442602
- Margo Peters, R.N.Administrator Registered Nurse1396700233
Verify Sumul N. Raval in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA07183700Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.6 times the Medicare Part D claims of the average neurology physician in 2024
3,544 Medicare Part D claims for 624 beneficiaries, against an average of 1,370 among the 15,005 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 12 claims were for opioids.
Most prescribed
- Donepezil Hcl416 claims
- Carbidopa-Levodopa326 claims
- Memantine Hcl243 claims
- Levetiracetam216 claims
- Duloxetine Hcl184 claims
- Primidone177 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 32.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,643.66
110 payments; by number, the most common kind was food and beverage; the largest payer was Acadia Pharmaceuticals Inc. The 10,858 providers of this specialty with any payment received $8,318.07 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Garden State Neurology And Neuro-Oncology, PCToms River, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sumul N. Raval among 577 neurology physician records in New Jersey
Sumul N. Raval, M.D. is one of 577 neurology physician records with a practice address in New Jersey. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 92% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated1990 · median 2002 among the 417 with a school on file
- Record last updated2013 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084N0400X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 neurology physician records list a practice address in West Long Branch
They are 3 of the 243 NPPES records with a practice address in West Long Branch, and 577 neurology physician records in New Jersey.
All 577 in New Jersey → Every provider in West Long Branch → Neurology Physician nationwide →
The 8 neurology physician records with the nearest ZIP codes
- Chris Anayiotos, MDW Long Branch, NJ 077641700842101
- Paul Gennaro, MDWest Long Branch, NJ 077641942268412
- Noah Gilson, MDWest Long Branch, NJ 077641821054230
- Arun Antony, MDNeptune, NJ 077531386899235
- Alexander Buslov, MDNeptune, NJ 077531285292755
- Changsoo Hahm, MDNeptune, NJ 077531093025306
- Diviya Kaul, M.D.Neptune City, NJ 077531326481292
- Karen Levin, MDNeptune, NJ 077531811930811
Common questions
What is Sumul N. Raval, M.D.'s NPI number?
Sumul N. Raval, M.D.'s National Provider Identifier (NPI) is 1376526673, issued on Nov 21, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Sumul N. Raval, M.D. located?
The NPPES record lists a practice address at 100 Hwy 36, West Long Branch, NJ, 07764. Phone: (732) 229-6200. Providers update this record themselves, so call before visiting.
How can I verify Sumul N. Raval, M.D.'s license?
NPPES lists New Jersey license number 25MA07183700, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sumul N. Raval, M.D. prescribe under Medicare Part D?
In 2024, Sumul N. Raval, M.D. had 3,544 Medicare Part D claims for 624 beneficiaries; the average among neurology physician prescribers was 1,370. Part D covers Medicare prescriptions only.
What is Sumul N. Raval, M.D.'s MIPS final score?
The 2023 MIPS final score is 32.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.