Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831616911 Individual Practitioner Female Practitioner

Kassandra Marie Sakura Samuel

Surgery • Aurora, CO

Professional Overview & Biography Verified Profile Summary

Kassandra Samuel is a registered healthcare professional specializing in Surgery in Aurora, CO. Practice services are available at 12631 E 17TH AVE RM 5403 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12631 E 17th Ave Rm 5403

Aurora, CO 800452527

Telephone 3037242680

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Aurora, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
50 Specialists

Practicing in Aurora, CO (635 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-30
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO DR.0071270

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

240 E Huron St Ste 1-200

Chicago, IL 606112909

Phone: 3125037975

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Piyush Sharma , MD

Student in an Organized Health Care Education/Training Program

NPI 1003270844

Doctor of Medicine (M.D.)

Dr. Samantha Fountain , MD, MMEDSCI

Student in an Organized Health Care Education/Training Program

NPI 1003757121

Doctor of Medicine (M.D.), MMEDSCI

Tad Manalo

Student in an Organized Health Care Education/Training Program

NPI 1023521036
NPI 1033616057

Doctor of Medicine (M.D.)

Dr. Max Krevalin , MD

Student in an Organized Health Care Education/Training Program

NPI 1043848054

Doctor of Medicine (M.D.)

Arijit Chakraborty

Student in an Organized Health Care Education/Training Program

NPI 1043907975

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2026

Surgery (License #DR.0071270 in CO)

📍
Updated Practice Location April 19, 2021

Registered at 12631 E 17TH AVE RM 5403, AURORA, CO 800452527 (Tel: 3037242680)

📍
Updated Business Mailing Address April 19, 2021

Registered at 12631 E 17TH AVE RM 5403, AURORA, CO 800452527 (Tel: 3037242680)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2021

Student in an Organized Health Care Education/Training Program (License #TL.0008696 in CO)

NPI Profile Active August 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2017

Registered at 240 E HURON ST STE 1-200, CHICAGO, IL 606112909 (Tel: 3125037975)

📍
Updated Business Mailing Address August 29, 2017

Registered at 240 E HURON ST STE 1-200, CHICAGO, IL 606112909 (Tel: 3125037975)

👤
Provider Name / Credentials Updated August 29, 2017

Recorded as KASSANDRA SAMUEL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 29, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831616911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2017
Last Update: June 30, 2026
Sole Proprietor: No

Mailing Address

12631 E 17th Ave Rm 5403

Aurora, CO 800452527

Phone: 3037242680

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.