SAMUEL KAREL VAN DE VELDE MD, PHD
NPI 1043868219
Orthopaedic Surgery in Brooklyn, NY
About Samuel Karel Van De Velde Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL KAREL VAN DE VELDE MD, PHD (NPI 1043868219) is an individual orthopaedic surgery provider in Brooklyn, New York, licensed in New York (306508) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Samuel Karel Van De Velde Md, Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Van De Velde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11215
- Reassigned Medicare billing, New York enrollment
- 1,029 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11215
BROOKLYN, NY 11215
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 Samuel Van De Velde's NPI number?
The NPI number for Samuel Van De Velde is 1043868219. It was assigned to this individual provider in the NPPES registry on August 30, 2019.
Where is Samuel Van De Velde located?
Samuel Van De Velde practices at 515 6th Street 4th Floor, Brooklyn, NY 11215. The listed phone number is (718) 246-8700.
What is Samuel Van De Velde's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Samuel Van De Velde enrolled in Medicare?
Yes. Samuel Van De Velde 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 organization bills Medicare for Samuel Van De Velde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Van De Velde reassigns Medicare benefits to Kings Physician Services, PC (Brooklyn, NY). The 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 Samuel Van De Velde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Van De Velde was last updated on December 29, 2022. 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.
# Samuel Karel Van De Velde, MD, PHD · NPI 1043868219
Orthopaedic Surgery physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since August 30, 2019.
## Identity
- **NPI:** 1043868219 (Entity type: Individual)
- **Enumerated:** August 30, 2019
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 306508 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 515 6TH STREET, 4TH FLOOR, Brooklyn, NY 11215
- **Phone:** (718) 246-8700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kings Physician Services, PC (NPI 1326698879, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** December 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1043868219) · Data from the CMS NPPES public registry.