THEODORE MCMENOMY (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1811036809

THEODORE MCMENOMY (MD) is a healthcare provider. based in Saint paul, Minnesota. specializing in CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 57429 (CO). The NPI Number for THEODORE MCMENOMY (MD) is 1811036809

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE MCMENOMY (MD)
NPI
1811036809
Phone
(651) 232-6905
Address
1690 UNIVERSITY AVE W STE 370
Enumeration Date
6 February 2007
Last Update Date
1 August 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6128634000
Graduation Year
2005 (21 years ago)
PAC ID
1951476415
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20090109000449
Address ID
MN554071321MI2925XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness75
Years active:19State licenses:4Digital endpointsOther names

350 CRITICAL CARE (INTENSIVISTS) in MN

Provider Addresses for THEODORE MCMENOMY (MD)

  • 1690 UNIVERSITY AVE W STE 370

    SAINT PAUL, MN 551043723

    Phone: (651) 232-6905

    Fax: (651) 326-8170

    Type: Mailing

  • 45 10TH ST W

    SAINT PAUL, MN 55102

    Phone: (651) 232-3000

    Type: Location

  • 1400 Jackson St

    Denver, CO 802062761

    Phone: (303) 388-4461

    Fax: (303) 270-2174

    Type: Location

  • 1700 University Ave W Fl 6

    Saint Paul, MN 551043727

    Phone: (651) 232-2273

    Fax: (651) 232-4953

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090109000449ICritical Care (Intensivists)MNTBD
I20140429000169IInternal MedicineWITBD
I20150820011252ICritical Care (Intensivists)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes7247$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6038$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 55104)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587573613View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check THEODORE MCMENOMY (MD) using NPI 1811036809?
NPI 1811036809 belongs to THEODORE MCMENOMY (MD); compare other details if you need extra assurance.
Active or inactive — what applies to THEODORE MCMENOMY (MD)?
You should see THEODORE MCMENOMY (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for THEODORE MCMENOMY (MD)?
At a glance, THEODORE MCMENOMY (MD) is tied to Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is THEODORE MCMENOMY (MD) associated with Saint Paul?
Public fields place THEODORE MCMENOMY (MD) around Saint Paul, Minnesota. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

JOHN J MARINI (MD)

Critical Care Medicine (Internal Medicine) Physician
401, Phalen Boulevard, Saint Paul, Ramsey County, Minnesota, 55130, United States
NPI: 1306810361

ALAIN F BROCCARD (MD)

Critical Care Medicine (Internal Medicine) Physician
8050 Township Line Rd
NPI: 1164498739

JON D FUERSTENBERG (MD)

Critical Care Medicine (Internal Medicine) Physician
800 E 28TH ST
NPI: 1093782187

JEFFERY R DICHTER (MD)

Critical Care Medicine (Internal Medicine) Physician
849 GOVERN CIRCLE
NPI: 1609845742

LEE MICHAEL KAMMAN (MD)

Pulmonary Disease Physician
Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States
NPI: 1598715799

STEPHEN GRYZAN (MD)

Pulmonary Disease Physician
Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States
NPI: 1467402941

DAVID WARREN BONHAM (MD)

Critical Care Medicine (Internal Medicine) Physician
Smith Avenue North, West Seventh - Fort Road, Saint Paul, Ramsey County, Minnesota, 55102, United States
NPI: 1366492837

DR. MARK ROGER FREIBERG (M.D.)

Critical Care Medicine (Internal Medicine) Physician
John Nasseff Medical Center, 255, Smith Avenue North, West Seventh - Fort Road, Saint Paul, Ramsey County, Minnesota, 55102, United States
NPI: 1770536450

SAMY EL-HALAWANI (D.O.)

Critical Care Medicine (Internal Medicine) Physician
45, 10th Street West, Downtown, Saint Paul, Ramsey County, Minnesota, 55102, United States
NPI: 1477505121