Kendrick McDonald Adnan, M.D.
Individual provider Active NPI Family Medicine Physician · Avon, CO
NPI 1811090103 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1811090103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 32659 (CO)
- Practice address
- 50 Buck Creek Rd Ste 100
Avon, CO 81620-5428 - Phone
- (970) 926-6340
- Fax
- (970) 926-6348
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Colorado Mountain Medical, LLC
Practice addresses (Care Compare)
50 Buck Creek Rd
Suite 100
Avon, CO 81620-5428
Phone (970) 926-6340
Hospital & facility affiliations
- Vail Health Hospital
- St Anthony Summit Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050913000033 | CO | Practitioner - Family Practice |
7416980347 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32659 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Mountain Medical, LLC | Current |
Accepting new patients | |
| Colorado Mountain Medical, LLC | Current |
Accepting new patients | |
| Colorado Mountain Medical, LLC | Family Medicine | Current | Accepting new patients |
| Colorado Mountain Medical, PC | Family Medicine | Past | Accepting new patients |
| VVMC Diversified Services | Past | Accepting new patients | |
| Vail Clinic, Inc. | Past | Accepting new patients |
Locations
365 Dillon Ridge Rd
Ste 1200
Dillon, CO 80435
Phone (970) 479-7272
377 Sylvan Lake Rd
Ste 210
Eagle, CO 81631
Phone (970) 328-1650
377 Sylvan Lake Rd
Ste 120
Eagle, CO 81631
Phone (970) 926-1800
322 Beard Creek Rd
Edwards, CO 81632
Phone (970) 569-7429
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
180 S Frontage Rd W
Ste 5800
Vail, CO 81657
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32659 | CO | Yes |
| Emergency Medicine Physician | 207P00000X | 32659 | CO |
Addresses
Primary practice location
50 Buck Creek Rd Ste 100
Avon, CO 81620-5428
Mailing address
PO Box 842578
Kansas City, MO 64184-2578
Phone (970) 926-6350
Other practice location 1
377 Sylvan Lake Rd Ste 120
Eagle, CO 81631-6779
Phone (970) 926-6340
Other practice location 2
365 Dillon Ridge Rd Ste 1200
Dillon, CO 80435-6344
Phone (970) 926-6340
Other practice location 3
180 S Frontage Rd W Ste 5800
Vail, CO 81657-5038
Phone (970) 926-6340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326594 | Medicaid | CO |
Other providers in Avon, CO
- Casey Aberth
- Agnoletto Anesthesia , Inc
- Anne A Alarie
- Allergy, Asthma, & Immunology of the Rockies, PC
- Alpine Chiropractic & Soft Tissue Diagnostic Center
- Altius Enterprises PLLC
All providers in Avon, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.