DR. BRIAN DANIEL SUMNER MD
NPI 1427518240
Emergency Medicine in Queens, NY
About Dr. Brian Daniel Sumner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRIAN DANIEL SUMNER MD (NPI 1427518240) is an individual emergency medicine provider in Queens, New York, licensed in New York (319576) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses 2
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 and accepts Medicare assignment
Dr. Brian Daniel Sumner Md 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 Reassignments
5Medicare enrollment records show Brian Sumner reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 1,067 clinicians in this Medicare group
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 325 clinicians in this Medicare group
New York, NY 10017
- Reassigned Medicare billing, New York enrollment
- 208 clinicians in this Medicare group
Paramus, NJ 07652
- Reassigned Medicare billing, New Jersey enrollment
- 833 clinicians in this Medicare group
Paramus, NJ 07652
- Reassigned Medicare billing, New Jersey enrollment
- 78 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Valley Hospital
Acute Care Hospitals · Paramus, NJMount Sinai Hospital
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11102 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG ISLAND CITY, NY 11102
LONG ISLAND CITY, NY 11102
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 Brian Sumner's NPI number?
The NPI number for Brian Sumner is 1427518240. It was assigned to this individual provider in the NPPES registry on March 20, 2019.
Where is Brian Sumner located?
Brian Sumner practices at 25-10 30th Ave, Queens, NY 11102. The listed phone number is (718) 932-1000.
What is Brian Sumner's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Brian Sumner enrolled in Medicare?
Yes. Brian Sumner 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 organizations bill Medicare for Brian Sumner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Sumner reassigns Medicare benefits to 5 organizations: Fpa Hospital Based (New York, NY), Icahn School Of Medicine At Mount Sinai (New York, NY), Icahn School Of Medicine At Mount Sinai (New York, NY), Valley Physician Services PC (Paramus, NJ) and Valley Emergency Assoc PA (Paramus, NJ). 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 Brian Sumner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brian Sumner accept?
Health plans from Oscar Health list Brian Sumner 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.
Is Brian Sumner affiliated with any hospitals?
According to CMS data, Brian Sumner is affiliated with Valley Hospital and Mount Sinai Hospital.
When was this NPI record last updated?
The NPPES record for Brian Sumner was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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. Brian Daniel Sumner, MD · NPI 1427518240
Emergency Medicine physician in Queens, New York. Individual provider, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1427518240 (Entity type: Individual)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 319576 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 25-10 30TH AVE, Queens, NY 11102
- **Phone:** (718) 932-1000
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Fpa Hospital Based (NPI 1427398676, New York, NY); Icahn School Of Medicine At Mount Sinai (NPI 1346908662, New York, NY); Icahn School Of Medicine At Mount Sinai (NPI 1679083984, New York, NY); Valley Physician Services PC (NPI 1467815928, Paramus, NJ); Valley Emergency Assoc PA (NPI 1770532665, Paramus, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1427518240) · Data from the CMS NPPES public registry.