DR. GRACE KOLLANNOOR SAMUEL MBBS, MS, PHD
NPI 1659014827
Internal Medicine in Woodbury, MN
About Dr. Grace Kollannoor Samuel Mbbs, Ms, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GRACE KOLLANNOOR SAMUEL MBBS, MS, PHD (NPI 1659014827) is an individual internal medicine provider in Woodbury, Minnesota, licensed in Minnesota (78971) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and maintains a secondary practice location in Minneapolis.
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. Grace Kollannoor Samuel Mbbs, Ms, Phd 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
2Medicare enrollment records show Grace Kollannoor Samuel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Minnesota enrollment
- 166 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Regions Hospital
Acute Care Hospitals · Saint Paul, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55125 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 Grace Kollannoor Samuel's NPI number?
The NPI number for Grace Kollannoor Samuel is 1659014827. It was assigned to this individual provider in the NPPES registry on April 15, 2022.
Where is Grace Kollannoor Samuel located?
Grace Kollannoor Samuel practices at 8450 Seasons Pkwy, Woodbury, MN 55125. The listed phone number is (651) 702-5300.
What is Grace Kollannoor Samuel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Grace Kollannoor Samuel enrolled in Medicare?
Yes. Grace Kollannoor 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.
Which organizations bill Medicare for Grace Kollannoor Samuel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Kollannoor Samuel reassigns Medicare benefits to 2 organizations: Group Health, Inc. (Woodbury, MN) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Grace Kollannoor Samuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grace Kollannoor Samuel accept?
Health plans from HealthPartners list Grace Kollannoor Samuel 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 Grace Kollannoor Samuel affiliated with any hospitals?
According to CMS data, Grace Kollannoor Samuel is affiliated with Regions Hospital.
When was this NPI record last updated?
The NPPES record for Grace Kollannoor Samuel was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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. Grace Kollannoor Samuel, MBBS, MS, PHD · NPI 1659014827
Internal Medicine physician in Woodbury, Minnesota. Individual provider, active in the CMS NPPES registry since April 15, 2022.
## Identity
- **NPI:** 1659014827 (Entity type: Individual)
- **Enumerated:** April 15, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 78971 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 8450 SEASONS PKWY, Woodbury, MN 55125-4402
- **Phone:** (651) 702-5300 · **Fax:** (651) 702-5305
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Group Health, Inc. (NPI 1083769335, Woodbury, MN); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** September 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659014827) · Data from the CMS NPPES public registry.