Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samuel Kebede, MD

Individual provider Hospitalist Physician · NPI 1790177129

Dr. Samuel Kebede, MD is an Internal Medicine in Saint Paul, Minnesota. Qualified in 2004, 22 years ago. Practices with Luminis Health Medical Group, LLC, a 549-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
22
Licensed in
IN
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

45 10th St W
Saint Paul, MN 55102-1062
Phone: (651) 326-3700
Fax: (651) 326-3706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8900 Van Wyck Expy, Jamaica, NY 11418-2832 — (718) 206-7708

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01081919A (IN)
Hospitalist Physician Taxonomy 208M00000X · Licence 01081919A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790177129
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 23, 2015
Last updated in NPPESAugust 23, 2019
Mailing address8900 Van Wyck Expy, Jamaica Hospital Medical Center, Jamaica, NY 11418

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Luminis Health Medical Group, Llc — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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