Individual provider Active NPI

Kim McKenna, D.O.

  • Neuroradiology Physician
  • Eden Prairie, MN
National Provider Identifier
1427410661
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
71211 Issued in MN
Practice address
7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone
(612) 573-2200
Fax
(612) 573-2274
NPI assigned
Mar 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 71211 MN
Neuroradiology Physician 2085N0700X 71211 MN Primary

Addresses

Primary practice location

7595 Anagram Dr
Eden Prairie, MN 55344-7399

Mailing address

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220509001917 MN Practitioner - Diagnostic Radiology 2163793498 Reassigns benefits to 11 organizations
I20240130000470 ND Practitioner - Diagnostic Radiology 2163793498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians
Mercy Medical CenterGroup PAC ID 7416851381, shared by 2 NPIs, 78 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Noran Neurological Clinic, P.a.Group PAC ID 3971497389, 54 clinicians
Radiology CharteredGroup PAC ID 1557394988, 39 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Consulting Radiologists LTDGroup PAC ID 7719899962, 77 clinicians

Practice addresses (Care Compare)

1230 Main St E
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811

1301 15TH Ave W
Williston, ND 58801-3821
Phone (701) 774-7400

1650 4TH St SE
Rochester, MN 55904-4700
Phone (507) 285-8485

2828 Chicago Ave
Suite 200
Minneapolis, MN 55407-4187
Phone (612) 879-1000

4015 Upton Ave S
Minneapolis, MN 55410-1260
Phone (920) 499-1428

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-4762

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Regional Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Mercy Home Care CurrentSince Jan 1, 2024 Accepting new patients
St Francis Regional Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Madelia Health Current Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Nov 15, 2022 Accepting new patients
Allina Health System CurrentSince Jun 1, 2022 Accepting new patients
Warren Community Hospital, Inc. CurrentSince Aug 31, 2023 Accepting new patients
Consulting Radiologists, LTD Neuroradiology CurrentSince Jun 1, 2022 Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Radiology Chartered Diagnostic Radiology CurrentSince Aug 11, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jun 1, 2022 Accepting new patients
Mercy Medical Center Current Accepting new patients
Olmsted Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Mercy Medical Center Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Consulting Radiologists, LTD Neuroradiology PastSince Jun 1, 2022 Accepting new patients
Allina Health System Past Accepting new patients
Quest Diagnostics LLC Il PastSince Nov 15, 2022 Accepting new patients

Locations (25 of 26)

3369 Solutions Ctr
Chicago, IL 60677

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Chaska, MN 55318
Phone (952) 361-2447

7595 Anagram Dr
Eden Prairie, MN 55344
Phone (612) 573-2214

6525 France Ave S
Ste 110
Edina, MN 55435
Phone (952) 285-3720

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

7505 Metro Blvd
Ste 400
Minneapolis, MN 55439
Phone 61257322002246

8100 W 78th St
Ste 230
Minneapolis, MN 55439
Phone (888) 892-7575

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone (612) 879-1502

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

2805 Campus Dr
Ste 465
Plymouth, MN 55441
Phone (763) 577-7400

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 58

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 58

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1427410661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "KIM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-27",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "71211",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MN",
            "license": "71211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.