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DR. PRASANNA MENON I M.D.
NPI 1417061573
Specialist in Mountain View, CA

Active since August 18, 2006PECOS Enrolled
2204 GRANT RD, SUITE 202, MOUNTAIN VIEW, CA 94040(650) 965-9155(650) 965-4105 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Prasanna Menon I M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRASANNA MENON I M.D. (NPI 1417061573) is an individual specialist in Mountain View, California, licensed in California (A46019) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417061573
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. PRASANNA MENON ICredential: M.D.
Location Address2204 GRANT RD, SUITE 202Mountain View, CA 94040-3855
Mailing Address2204 Grant Rd, Suite 202Mountain View, CA 94040-3855 · (650) 965-9155 · Fax (650) 965-4105
Phone(650) 965-9155
Fax(650) 965-4105
Sole ProprietorYes
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417061573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A46019
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2204 GRANT RD, Mountain View, CA 94040
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Other Identifiers 1

Medicare ID-Type Unspecified00A460190CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prasanna Menon I M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Prasanna Menon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

El Camino Health Medical Group
10 mi
Geriatric Medicine
973 UNIVERSITY AVE
Los Gatos, CA 95032
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: El Camino Medical Associates PC
  • 19 clinicians in this Medicare group
NPI 1578831764 (408) 871-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALFRED BUTNER, M.D. INC.
General Practice
2204 GRANT RD, SUITE 203
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 960-1100
PREETHI CHAKRAVARTHY SRIDHAR MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2204 GRANT RD, SUITE 103
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 967-8841
JOYCE TATELMAN MD, INC.
Clinic/Center
2204 GRANT RD, SUITE 104
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 528-5110
VINITA DHIR TANDON M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2204 GRANT RD, SUITE 103
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 967-8841
MIDPENINSULA SURGICAL ASSOCIATES MEDICAL GROUP
Surgery (Surgical Oncology)
2204 GRANT RD, STE 203
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 964-0600
DR. ANDREW B LIPTON MD
Internal Medicine (Gastroenterology)
2204 GRANT RD, SUITE 104
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 964-7700
DR. DAVID ARTHUR LEWIS M.D.
Internal Medicine
2204 GRANT RD, SUITE 103
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 967-8890
DR. SOO JEAN ENG MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2204 GRANT RD, #103
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 967-8841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prasanna Menon's NPI number?

The NPI number for Prasanna Menon is 1417061573. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Prasanna Menon located?

Prasanna Menon practices at 2204 Grant Rd Suite 202, Mountain View, CA 94040. The listed phone number is (650) 965-9155.

What is Prasanna Menon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Prasanna Menon enrolled in Medicare?

Yes. Prasanna Menon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prasanna Menon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prasanna Menon reassigns Medicare benefits to El Camino Health Medical Group (Los Gatos, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prasanna Menon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Prasanna Menon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.