DR. JEVON SAMAROO-CAMPBELL M.D
NPI 1962958629
Internal Medicine - Critical Care Medicine in Forest Hills, NY
About Dr. Jevon Samaroo-campbell M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEVON SAMAROO-CAMPBELL M.D (NPI 1962958629) is an individual critical care medicine provider in Forest Hills, New York, licensed in New York (302290) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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. Jevon Samaroo-campbell 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.
Medicare Billing Reassignment
Medicare enrollment records show Jevon Samaroo-campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Long Island Jewish Medical Center
Acute Care Hospitals · New Hyde Park, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11375 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
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 Jevon Samaroo-campbell's NPI number?
The NPI number for Jevon Samaroo-campbell is 1962958629. It was assigned to this individual provider in the NPPES registry on August 31, 2016.
Where is Jevon Samaroo-campbell located?
Jevon Samaroo-campbell practices at 10201 66th Rd, Forest Hills, NY 11375. The listed phone number is (718) 830-1360.
What is Jevon Samaroo-campbell's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Jevon Samaroo-campbell enrolled in Medicare?
Yes. Jevon Samaroo-campbell 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 Jevon Samaroo-campbell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jevon Samaroo-campbell reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, 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 Jevon Samaroo-campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jevon Samaroo-campbell affiliated with any hospitals?
According to CMS data, Jevon Samaroo-campbell is affiliated with Long Island Jewish Medical Center.
When was this NPI record last updated?
The NPPES record for Jevon Samaroo-campbell was last updated on October 27, 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. Jevon Samaroo-Campbell, M.D · NPI 1962958629
Critical Care Medicine physician in Forest Hills, New York. Individual provider, active in the CMS NPPES registry since August 31, 2016.
## Identity
- **NPI:** 1962958629 (Entity type: Individual)
- **Enumerated:** August 31, 2016
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 302290 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10201 66TH RD, Forest Hills, NY 11375-7624
- **Phone:** (718) 830-1360
## 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:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962958629) · Data from the CMS NPPES public registry.