DR. SAMUEL KEBEDE MD
NPI 1790177129
Internal Medicine in Saint Paul, MN
About Dr. Samuel Kebede Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL KEBEDE MD (NPI 1790177129) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Indiana (01081919A) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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. Samuel Kebede 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
7Medicare enrollment records show Samuel Kebede reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Healtheast Medical Research Institute
- 2,361 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Winchester, VA 22601
- Reassigned Medicare billing, Virginia enrollment
- 371 clinicians in this Medicare group
Washington, DC 20007
- Reassigned Medicare billing, District of Columbia enrollment
- 3,530 clinicians in this Medicare group
Hyattsville, MD 20782
- Reassigned Medicare billing, Maryland enrollment
- 794 clinicians in this Medicare group
Fredericksburg, VA 22401
- Reassigned Medicare billing, Virginia enrollment
- 258 clinicians in this Medicare group
Richmond, VA 23226
- Reassigned Medicare billing, Virginia enrollment
- 104 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 5
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.
Luminis Health Anne Arundel Medical Center, Inc
Acute Care Hospitals · Annapolis, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55102 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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Samuel Kebede's NPI number?
The NPI number for Samuel Kebede is 1790177129. It was assigned to this individual provider in the NPPES registry on February 23, 2015.
Where is Samuel Kebede located?
Samuel Kebede practices at 45 10th St W, Saint Paul, MN 55102. The listed phone number is (651) 326-3700.
What is Samuel Kebede's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Samuel Kebede enrolled in Medicare?
Yes. Samuel Kebede 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 Samuel Kebede's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Kebede reassigns Medicare benefits to 7 organizations: Healtheast Medical Research Insititue (Saint Paul, MN), Fairview Health Services (Minneapolis, MN), Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA), Medstar Medical Group II LLC (Washington, DC), Luminis Health Medical Group, LLC (Hyattsville, MD) and 2 more organizations, listed in the Medicare section above. 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 Samuel Kebede's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samuel Kebede affiliated with any hospitals?
According to CMS data, Samuel Kebede is affiliated with Luminis Health Anne Arundel Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Samuel Kebede was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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. Samuel Kebede, MD · NPI 1790177129
Internal Medicine physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since February 23, 2015.
## Identity
- **NPI:** 1790177129 (Entity type: Individual)
- **Enumerated:** February 23, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 01081919A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 45 10TH ST W, Saint Paul, MN 55102-1062
- **Phone:** (651) 326-3700 · **Fax:** (651) 326-3706
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Healtheast Medical Research Insititue (NPI 1417145517, Saint Paul, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN); Hospitalist Medicine Physicians Of Virginia LLC (NPI 1770756991, Winchester, VA); Medstar Medical Group II LLC (NPI 1205562816, Washington, DC); Luminis Health Medical Group, LLC (NPI 1811494990, Hyattsville, MD); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** August 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790177129) · Data from the CMS NPPES public registry.