BLUE GREEN HORIZONS OFFICE BASED SURGERY PLLC
NPI 1073835641
Clinic/Center - Multi-Specialty in Brooklyn, NY
About Blue Green Horizons Office Based Surgery Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE GREEN HORIZONS OFFICE BASED SURGERY PLLC (NPI 1073835641) is a healthcare organization registered as a multi-specialty in Brooklyn, New York and active in the NPI registry since February 2010. The organization lists Shelby K. Samuel, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Green Horizons Office Based Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Blue Green Horizons Office Based Surgery PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
New York, NY 10029
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 33D1042763
Blue Green Horizons Office Based Surgery PLLC · Brooklyn, NYFrequently 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 Blue Green Horizons Office Based Surgery PLLC's NPI number?
The NPI number for Blue Green Horizons Office Based Surgery PLLC is 1073835641. It was assigned to this organization in the NPPES registry on February 23, 2010.
Where is Blue Green Horizons Office Based Surgery PLLC located?
Blue Green Horizons Office Based Surgery PLLC is located at 200 Brooklyn Ave, Brooklyn, NY 11213. The listed phone number is (718) 498-7888.
What is Blue Green Horizons Office Based Surgery PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Blue Green Horizons Office Based Surgery PLLC enrolled in Medicare?
Yes. Blue Green Horizons Office Based Surgery PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Green Horizons Office Based Surgery PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Blue Green Horizons Office Based Surgery PLLC, in Gastroenterology and Pathology. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blue Green Horizons Office Based Surgery PLLC was last updated on February 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Blue Green Horizons Office Based Surgery Pllc · NPI 1073835641
Multi-Specialty organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since February 23, 2010.
## Identity
- **NPI:** 1073835641 (Entity type: Organization)
- **Enumerated:** February 23, 2010
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Shelby Samuel, OWNER
## Practice location
- **Address:** 200 BROOKLYN AVE, Brooklyn, NY 11213-1908
- **Phone:** (718) 498-7888 · **Fax:** (718) 604-7890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (1), Pathology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073835641) · Data from the CMS NPPES public registry.