Individual provider Active NPI

Kirsten Alexandra Menn, M.D.

  • Diagnostic Radiology Physician
  • Palo Alto, CA
National Provider Identifier
1558509166
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
138448 Issued in CA
Practice address
243 Webster St
Palo Alto, CA 94301-1236
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 048550 CT
Diagnostic Radiology Physician 2085R0202X 304319 LA
Diagnostic Radiology Physician 2085R0202X 53126 TN
Diagnostic Radiology Physician 2085R0202X 138448 CA Primary

Addresses

Primary practice location

243 Webster St
Palo Alto, CA 94301-1236

Mailing address

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Other practice location 1

262 Danny Thomas Pl
Memphis, TN 38105-3678
Phone (901) 595-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA, TX, TN, KS5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20110613000636 CT Practitioner - Diagnostic Radiology 5395922702 Reassigns benefits to 4 organizations
I20151104002304 CA Practitioner - Diagnostic Radiology 5395922702 Reassigns benefits to 2 organizations
I20180123000737 TX Practitioner - Diagnostic Radiology 5395922702 Reassigns benefits to 1 organization
I20200609001051 TN Practitioner - Diagnostic Radiology 5395922702 Reassigns benefits to 1 organization
I20221129001269 KS Practitioner - Diagnostic Radiology 5395922702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Yale University School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Meriden Imaging Center IncGroup PAC ID 4385683556, 56 clinicians
Midstate Radiology Associates LLCGroup PAC ID 4880593565, 89 clinicians

Practice addresses (Care Compare)

Overland Park, KS 66213
Phone (844) 868-1001

100 Grand St
New Britain, CT 06052-2016
Phone (203) 949-2700

111 Salem Tpke
Norwich, CT 06360-7403
Phone (203) 949-2700

201 N Mountain Rd
Plainville, CT 06062-1848
Phone (203) 949-2700

326 Washington St
Norwich, CT 06360-2740
Phone (203) 949-2700

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 949-2700

81 Meriden Ave
Southington, CT 06489-3268
Phone (203) 949-2700

863 N Main St Ext
Wallingford, CT 06492-2434

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
82.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138448CAMDDiagnostic Radiology Physician
048550CTMDDiagnostic Radiology Physician
304319LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Services of CT, LLC Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Starling Physicians PLLC CurrentSince Oct 1, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Nov 1, 2017 Accepting new patients
Starling Physicians, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Nov 1, 2017 Accepting new patients
Meriden Imaging Center, Inc. Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology CurrentSince Jan 22, 2021 Accepting new patients
Midstate Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
St Jude Children'S Research Hospital, Inc. CurrentSince Jan 25, 2020 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

100 Grand St
#B
New Britain, CT 06052

375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

582 Norwich Rd
Plainfield, CT 06374
Phone (860) 230-2830

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

863 N Main Street Ext
Wallingford, CT 06492

2770 3rd Ave
Ste 125
Lake Charles, LA 70601
Phone (337) 494-2674

262 Danny Thomas Pl
#515
Memphis, TN 38105
Phone (901) 495-3006

262 Danny Thomas Pl
Memphis, TN 38105
Phone (888) 226-4343

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1558509166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 WEBSTER ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011236",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "262 Danny Thomas Pl",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381053678",
            "country_code": "US",
            "telephone_number": "901-595-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENN",
        "first_name": "KIRSTEN",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "048550",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "304319",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "53126",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "138448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.