DR. KENDRICK MCDONALD ADNAN (M.D.) – Family Medicine Physician, NPI 1811090103

DR. KENDRICK MCDONALD ADNAN (M.D.) is a healthcare provider. based in Eagle, Colorado. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 32659 (CO). The NPI Number for DR. KENDRICK MCDONALD ADNAN (M.D.) is 1811090103

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENDRICK MCDONALD ADNAN (M.D.)
NPI
1811090103
Phone
(970) 926-6340
Address
377 Sylvan Lake Rd Ste 120
Enumeration Date
6 September 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
9709266340
Graduation Year
1992 (34 years ago)
PAC ID
7416980347
Group Practice PAC ID
5496087181
Professional Enrollment ID
I20050913000033
Address ID
CO816205428AV50XXXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,660 FAMILY PRACTICE in CO

Provider Addresses for DR. KENDRICK MCDONALD ADNAN (M.D.)

  • 377 Sylvan Lake Rd Ste 120

    Eagle, CO 816316779

    Phone: (970) 926-6340

    Fax: (970) 926-6348

    Type: Location

  • 180 S Frontage Rd W Ste 5800

    Vail, CO 816575038

    Phone: (970) 926-6340

    Fax: (970) 926-6348

    Type: Location

  • 365 Dillon Ridge Rd Ste 1200

    Dillon, CO 804356344

    Phone: (970) 926-6340

    Fax: (970) 926-6348

    Type: Location

  • PO BOX 842578

    KANSAS CITY, MO 641842578

    Phone: (970) 926-6350

    Fax: (970) 926-6348

    Type: Mailing

  • Woody's Bar & Grill, 27, Main Street, Riverwalk at Edwards, Edwards Village, Edwards, Eagle County, Colorado, 81632, United States

    EDWARDS, CO 816328109

    Phone: (970) 569-3600

    Fax: (970) 569-3601

    Type: Mailing

  • Shavano, 555, South Park Avenue, Breckenridge, Summit County, Colorado, 80424, United States

    BRECKENRIDGE, CO 80424

    Phone: (970) 453-1010

    Fax: (970) 453-5407

    Type: Location

  • 50 BUCK CREEK RD STE 100

    AVON, CO 816205428

    Phone: (970) 926-6340

    Fax: (970) 926-6348

    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: 2005-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050913000033IFamily PracticeCOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7474$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
99214Established patient office or other outpatient visit, 30-39 minutes2423$0
87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b2323$0
81003Automated urinalysis test1919$0
View full utilization report →

Insurance plans in this area (ZIP 81631)

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: 5496087181View full group profile
NameSpecialtyState
-CO
Family Practice, Emergency MedicineCO
-CO
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantWI
-CO
Emergency Medicine, Preventive MedicineCO
Registered Dietitian Or Nutrition ProfessionalCO
-CO

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

How do payers reference DR. KENDRICK MCDONALD ADNAN (M.D.)?
For DR. KENDRICK MCDONALD ADNAN (M.D.), use NPI 1811090103 as the unique 10-digit identifier.
Would DR. KENDRICK MCDONALD ADNAN (M.D.) appear as active to a payer?
You can treat DR. KENDRICK MCDONALD ADNAN (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. KENDRICK MCDONALD ADNAN (M.D.)?
At a glance, DR. KENDRICK MCDONALD ADNAN (M.D.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KENDRICK MCDONALD ADNAN (M.D.) associated with Eagle?
Public fields place DR. KENDRICK MCDONALD ADNAN (M.D.) around Eagle, Colorado. Always confirm the exact site before visiting.
What does 7 location(s) imply?
7 practice locations appear in the available data.

Similar Providers

EDWARD DENT (MD)

Family Medicine Physician
Eagle Healthcare Center, 377, Sylvan Lake Road, Eagle, Eagle County, Colorado, 81631, United States
NPI: 1225030075

Unknown Individual

Family Medicine Physician
PO BOX 1749
NPI: 1619979424

JENNIFER MARIE BETTENHAUSEN (MD)

Family Medicine Physician
PO BOX 1749
NPI: 1548262066

COLORADO MOUNTAIN MEDICAL, PC

Family Medicine Physician
Eagle Post Office, 4101, West Green Oaks Boulevard, Arlington, Tarrant County, Texas, 76016, United States
NPI: 1083675102

DR. CRYSTAL WALDEN RONEY (MD)

Family Medicine Physician
Eagle Healthcare Center, 377, Sylvan Lake Road, Eagle, Eagle County, Colorado, 81631, United States
NPI: 1225112543

Eagle Valley Family Practice

Family Medicine Physician
PO BOX 227
NPI: 1801965272

ANGELA AMMON (MD)

Family Medicine Physician
377 SYLVAN LAKE RD STE 220
NPI: 1043389356
Kaiser Permanente, 2955, South Broadway, Englewood, Arapahoe County, Colorado, 80113, United States
NPI: 1124291547

Symbiotics

Family Medicine Physician
Eagle Post Office, 4101, West Green Oaks Boulevard, Arlington, Tarrant County, Texas, 76016, United States
NPI: 1871823203