Grace Kollannoor Samuel, MBBS, MS, PHD
NPI 1659014827 · Internal Medicine Physician · Woodbury, MN
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grace Kollannoor Samuel, MBBS, MS, PHD is a Internal Medicine Physician provider in Woodbury, MN (NPI 1659014827).
Provider details
- NPI number
- 1659014827
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MBBS, MS, PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 78971 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 420 Delaware St SeMinneapolis, MN 55455-0341Phone: (612) 626-5454
Registry dates
- Enumerated
- 2022-04-15
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Frequently asked questions
- What is Grace Kollannoor Samuel's NPI number?
- Grace Kollannoor Samuel's National Provider Identifier (NPI) is 1659014827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Grace Kollannoor Samuel's specialty?
- Grace Kollannoor Samuel is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Grace Kollannoor Samuel located?
- Grace Kollannoor Samuel's practice location on file with NPPES is 8450 Seasons Pkwy, Woodbury, MN 55125-4402.
- What is Grace Kollannoor Samuel's phone number?
- The practice phone number listed in the NPPES registry for Grace Kollannoor Samuel is (651) 702-5300.
- Does Grace Kollannoor Samuel accept Medicare?
- Grace Kollannoor Samuel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Grace Kollannoor Samuel's NPI active?
- Yes — Grace Kollannoor Samuel's NPI (1659014827) is active in the NPPES registry as of the last update on 2025-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.