NPIMap

Individual provider Active NPI

Kristen Kimberly Sherman, M.D.

  • Internal Medicine Physician
  • Menlo Park, CA
National Provider Identifier
1770513335
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A74299 Issued in CA
Practice address
1300 Crane St Ste 625
Menlo Park, CA 94025-4260
Phone
(650) 498-7080
Fax
(650) 324-6279
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A74299 CA Primary

Addresses

Primary practice location

1300 Crane St Ste 625
Menlo Park, CA 94025-4260

Mailing address

1300 Crane St Ste 625
Menlo Park, CA 94025-4260
Phone (650) 498-7080

Other practice location 1

2000 Van Ness Ave
San Francisco, CA 94109-3015
Phone (415) 673-9511

Other practice location 2

1635 Divisadero Street
Suite 625, Box 1821
San Francisco, CA 94143-0001
Phone (415) 476-4029

Other identifiers 1

IdentifierTypeStateIssuer
00A742990MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418001347 CA Practitioner - Internal Medicine 4981642204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6500

Hospital & facility affiliations

  • Best Home Health Providers, Inc Home health agency, Hayward, CA, CCN 059546
  • Bayhealth, Inc Home health agency, Campbell, CA, CCN 059507
  • Pathways Home Health and Hospice Home health agency, Sunnyvale, CA, CCN 057190
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • Sequoia Hospital Hospital, Redwood City, CA, CCN 050197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74299CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance Internal Medicine CurrentSince Jan 20, 2009 Accepting new patients
Marin Hospitalist Medical Group, Inc. Internal Medicine PastSince May 20, 2005 Accepting new patients
University of California Irvine Past Accepting new patients
Affinity Medical Group Past Accepting new patients
University of California San Francisco Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

1300 Crane St
Ste 625
Menlo Park, CA 94025
Phone (650) 498-7080

Interoperability endpoints

  • Direct secure messaging: ksherman3988@direct.stanfordhealthcare.org

Organizations & group practices 6

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1770513335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CRANE ST STE 625",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254260",
            "telephone_number": "650-498-7080",
            "fax_number": "650-324-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CRANE ST STE 625",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254260",
            "telephone_number": "650-498-7080",
            "fax_number": "650-324-6279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941093015",
            "country_code": "US",
            "telephone_number": "415-673-9511",
            "fax_number": "415-292-4167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 Divisadero Street",
            "address_2": "Suite 625, Box 1821",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941430001",
            "country_code": "US",
            "telephone_number": "415-476-4029",
            "fax_number": "415-476-4150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "KRISTEN",
        "middle_name": "KIMBERLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A742990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.