Zackary Jacob Kent, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01064728A Issued in IN

Practice address

320 Beard Creek Rd
Edwards, CO 81632-6426

Phone

(970) 945-2840

Fax

(970) 945-1055

NPI assigned

Nov 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Family Practice

Education

Uniformed Services Uhs Fe Hebert School of Med, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Mountain Medical, LLCGroup PAC ID 5496087181, 63 clinicians

Mountain Family Health CentersGroup PAC ID 3173413101, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vail Health Hospital Hospital, Vail, CO, CCN 060096

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zackary.kent.p1@direct.mfhc.nextgenshare.com
• Direct secure messaging: zackarykent@coloradomo.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colorado Mountain Medical, LLC

  • Multi-Specialty Clinic/Center
  • Avon, CO
  • NPI 1730747445

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Mountain Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Glenwood Springs, CO
  • NPI 1477552388
  Medicare reassignment Care Compare group NPD
• Colorado Mountain Medical, LLC

  • Multi-Specialty Clinic/Center
  • Eagle, CO
  • NPI 1215553409

  Family Medicine

  NPD
• Colorado Mountain Medical, LLC

  • Community/Behavioral Health Agency
  • Vail, CO
  • NPI 1326793076
  NPD
• Mountain Family Health Centers

  dba Mountain Family Health Centers Gypsum

  • Federally Qualified Health Center (FQHC)
  • Gypsum, CO
  • NPI 1710661194
  NPD
• Colorado Mountain Medical, PC

  • Family Medicine Physician
  • Avon, CO
  • NPI 1083675102
  NPD (past)
• Mountain Family Health Centers

  dba Mountain Family Health Centers Avon

  • Federally Qualified Health Center (FQHC)
  • Avon, CO
  • NPI 1982328969
  NPD (past)

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

• Vail Clinic Inc

  dba Shaw Cancer Clinic at Frisco

  • Clinic/Center
  • Frisco, CO
  • NPI 1003463217

  Hospital

  Care Compare affiliation
• Vail Clinic Inc

  dba Beaver Creek Medical Center - Service of Vail Health Hospital

  • General Acute Care Hospital
  • Avon, CO
  • NPI 1093361842
  Care Compare affiliation
• Vail Clinic Inc

  dba Shaw Cancer Center - Service of Vail Health Hospital

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1144876251
  Care Compare affiliation
• Vail Clinic, Inc.

  dba Precourt Healing Center

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  Care Compare affiliation
• Vail Clinic, Inc.

  dba Vail Health Hospital

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  Care Compare affiliation

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1407038706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BEARD CREEK RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326426",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-1055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Bodin Cir",
            "address_purpose": "LOCATION",
            "city": "Travis AFB",
            "state": "CA",
            "postal_code": "945351809",
            "country_code": "US",
            "telephone_number": "707-423-3277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Buck Creek Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CO",
            "postal_code": "816205428",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 S Frontage Rd W Ste 5800",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575038",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENT",
        "first_name": "ZACKARY",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01064728A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000171600",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Juarez, PT, DPT
• Kaiser Foundation Health Plan of Colorado (Kaiser Permanente Edwards Medical Offices)
• Karen S Schultz (Rocky Mountain Hand Therapy)
• Melissa M Kelly, AU.D.
• Sarah Ann Kemak
• Patrick Keogh
• Annegret A Kessler
• Cody L King
• Eliza Klearman, ND, LAC
• Joanna Kluender, NP

• Family Medicine Physician in Edwards, CO
• Providers in Edwards, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.