DR. COLLEEN STEPHANIE SURLYN MD
NPI 1053649418
Internal Medicine in New York, NY
About Dr. Colleen Stephanie Surlyn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. COLLEEN STEPHANIE SURLYN MD (NPI 1053649418) is an individual internal medicine provider in New York, New York, licensed in New York (270474-1) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albany.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Colleen Stephanie Surlyn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Colleen Surlyn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10012
- Reassigned Medicare billing, New Mexico enrollment
- 13 clinicians in this Medicare group
New York, NY 10012
- Reassigned Medicare billing, New York enrollment
- 23 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1386619344 (California)
- 637 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 10012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Colleen Surlyn's NPI number?
The NPI number for Colleen Surlyn is 1053649418. It was assigned to this individual provider in the NPPES registry on November 24, 2009. The provider is also known as Dr. Colleen Stephanie Lynch.
Where is Colleen Surlyn located?
Colleen Surlyn practices at 632 Broadway Ph, New York, NY 10012. The listed phone number is (347) 933-6246.
What is Colleen Surlyn's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Colleen Surlyn enrolled in Medicare?
Yes. Colleen Surlyn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Colleen Surlyn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Surlyn reassigns Medicare benefits to 4 organizations: Galileo Medical Group, Nm PC (New York, NY), Galileo Medical PC (New York, NY), Sun River Health Inc (Bronx, NY) and University Of California Sfgh Medical Group (San Francisco, CA). 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 Colleen Surlyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Colleen Surlyn accept?
Health plans from Blue Cross and Blue Shield of NC list Colleen Surlyn 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 Colleen Surlyn was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Colleen Stephanie Surlyn, MD · NPI 1053649418
Internal Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since November 24, 2009.
## Identity
- **NPI:** 1053649418 (Entity type: Individual)
- **Enumerated:** November 24, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 270474-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 632 BROADWAY PH, New York, NY 10012-2614
- **Phone:** (347) 933-6246
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Galileo Medical Group, Nm PC (NPI 1548911746, New York, NY); Galileo Medical PC (NPI 1659853687, New York, NY); Sun River Health Inc (NPI 1740763275, Bronx, NY); University Of California Sfgh Medical Group (NPI 1265407381, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053649418) · Data from the CMS NPPES public registry.