Active NPI
Samuel Kebede, MD
- Internal Medicine Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01081919A
- Practice address
- 45 10TH St W
Saint Paul, MN 55102-1062 - Phone
- (651) 326-3700
- Fax
- (651) 326-3706
- NPI assigned
- Feb 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 01081919A | IN | |
| Internal Medicine Physician | 207R00000X | 01081919A | IN | Primary |
Addresses
Primary practice location
45 10TH St W
Saint Paul, MN 55102-1062
Mailing address
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-7708
Other practice location 1
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-7708
Other practice location 2
1137 Liberty Rd
Eldersburg, MD 21784-7934
Phone (410) 795-0929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MN, DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000
Hospital & facility affiliations
- Luminis Health Anne Arundel Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.45 of 100
- Quality
- 67.28
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01081919A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Virginia - Richmond, LLC | Internal Medicine | Current | Accepting new patients |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Fairview Health Services | Current | Accepting new patients | |
| Central Primary Care LLC | Internal Medicine | Current | Accepting new patients |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current | Accepting new patients |
| Healtheast Medical Research Institute | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Internal Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Internal Medicine | Current | Accepting new patients |
| Luminis Health Anne Arundel Medical Center, Inc. | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
2300 Opitz Blvd
Ste G209
Woodbridge, VA 22191
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1699311324
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
-
- Internal Medicine Physician
- Eldersburg, MD
- NPI 1518891787
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Sleep Disorder Diagnostic Clinic/Center
- Minneapolis, MN
- NPI 1194143024
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1790177129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114182832",
"telephone_number": "718-206-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 10TH ST W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551021062",
"telephone_number": "651-326-3700",
"fax_number": "651-326-3706"
}
],
"practiceLocations": [
{
"address_1": "8900 Van Wyck Expy",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114182832",
"country_code": "US",
"telephone_number": "718-206-7708",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1137 Liberty Rd",
"address_purpose": "LOCATION",
"city": "Eldersburg",
"state": "MD",
"postal_code": "217847934",
"country_code": "US",
"telephone_number": "410-795-0929",
"fax_number": "410-795-0149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEBEDE",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-23",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01081919A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01081919A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.