DR. SHELBY KEVIN SAMUEL M.D.
NPI 1114947157
Internal Medicine - Gastroenterology in Brooklyn, NY

Q: What is Shelby Samuel's NPI number?

The NPI number for Shelby Samuel is 1114947157. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Shelby Samuel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Samuel was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 20, 2006PECOS EnrolledAccepts Medicare Assignment

200 BROOKLYN AVE, BROOKLYN, NY 11213(718) 498-7888(718) 604-7890 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Shelby Kevin Samuel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHELBY KEVIN SAMUEL M.D. (NPI 1114947157) is an individual gastroenterology provider in Brooklyn, New York, licensed in New York (176352) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1986).

NPPES Registry Identity

NPI1114947157

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SHELBY KEVIN SAMUELCredential: M.D.

Location Address200 BROOKLYN AVEBrooklyn, NY 11213-1908

Mailing AddressPo Box 391White Plains, NY 10602-0391 · (718) 498-7888 · Fax (718) 604-7890

Phone(718) 498-7888

Fax(718) 604-7890

Sole ProprietorYes

Medical School CMSState University Of New York Downstate Medical CenterGraduated 1986

Enumeration DateJuly 20, 2006

Last NPPES UpdateFebruary 10, 2012

✔ NPI 1114947157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NY · 176352

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

200 BROOKLYN AVE, Brooklyn, NY 11213

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Other Identifiers 3

Medicaid01448966NY

Medicare UPINF61761NY

Medicare ID-Type Unspecified67H042NY

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. Shelby Kevin Samuel 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 ID2567374184

PECOS Enrollment IDI20031103000392

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 3

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.

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.

31 services31 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services16 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11213 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLUE GREEN HORIZONS OFFICE BASED SURGERY PLLC

Clinic/Center (Multi-Specialty)

200 BROOKLYN AVE
BROOKLYN, NY 11213

Kings County (718) 498-7888

BROOKLYN AVENUE MEDICAL PLLC

Anesthesiology

200 BROOKLYN AVE
BROOKLYN, NY 11213

Kings County (718) 498-7888

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 Shelby Samuel's NPI number?

The NPI number for Shelby Samuel is 1114947157. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Shelby Samuel located?

Shelby Samuel practices at 200 Brooklyn Ave, Brooklyn, NY 11213. The listed phone number is (718) 498-7888.

What is Shelby Samuel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shelby Samuel enrolled in Medicare?

Yes. Shelby Samuel 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.

When was this NPI record last updated?

The NPPES record for Shelby Samuel was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.