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DR. GRACE KOLLANNOOR SAMUEL MBBS, MS, PHD
NPI 1659014827
Internal Medicine in Woodbury, MN

Active since April 15, 2022PECOS EnrolledAccepts Medicare Assignment
8450 SEASONS PKWY, WOODBURY, MN 55125(651) 702-5300(651) 702-5305 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Feb 21, 2025, Apr 15, 2022 (3 updates tracked since 2022).

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

NPI1659014827
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GRACE KOLLANNOOR SAMUELCredential: MBBS, MS, PHD
Location Address8450 SEASONS PKWYWoodbury, MN 55125-4402
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(651) 702-5300
Fax(651) 702-5305
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 15, 2022
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1659014827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MN · 78971✔ Licensed in WI · 8472620
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 8472620 (WI)
8450 SEASONS PKWY, Woodbury, MN 55125
Open in Google Maps ↗

Secondary Practice Location 1

Location 1420 Delaware St SEMinneapolis, MN 55455-0341 · Phone (612) 626-5454

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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. 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.

PECOS PAC ID840679197
PECOS Enrollment IDI20250422002082
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.

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, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician 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.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

DR. BRIDGETTE MARIE SURI MD
Pediatrics
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
ALICIA MARIE OSTERMAN KEMP M.D.
Pediatrics
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
DALE J MEYER MD
Internal Medicine
8450 SEASONS PKWY, MAIL STOP 32900A
WOODBURY, MN 55125
Washington County (651) 702-5300
CHELSEY PRALL DO
Pediatrics
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
KATELYN ELIZABETH KLIMSTRA M.D.
Obstetrics & Gynecology
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
ROBIN SHULTZ PA-C
Physician Assistant
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (952) 853-8800
RUBY LEIGH RUSSELL
Obstetrics & Gynecology
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
MARLEN MIDTHUNE
Family Medicine
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (952) 967-7975

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.

What insurance does Grace Kollannoor Samuel accept?

Health plans from HealthPartners and Medica 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 10 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.