DR. KENDALL J. VERMILION M.D.
NPI 1962694042
Military Health Care Provider in Travis Afb, CA

Active since August 13, 2007PECOS Enrolled
DAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535(707) 423-5433(707) 423-5426 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, May 8, 2018 (2 updates tracked since 2018).

About Dr. Kendall J. Vermilion M.d. NPPES

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

DR. KENDALL J. VERMILION M.D. (NPI 1962694042) is an individual military health care provider provider in Travis Afb, California, licensed in Virginia (0101245478) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962694042
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameDR. KENDALL J. VERMILIONCredential: M.D.
Location AddressDAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLETravis Afb, CA 94535
Mailing AddressDavid Grant Medical Center, 101 Bodin CircleTravis Afb, CA 94535 · (707) 423-5433 · Fax (707) 423-5426
Fax(707) 423-5426
Sole ProprietorNo
Enumeration DateAugust 13, 2007
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1962694042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License Licensed in VA · 0101245478
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
DAVID GRANT MEDICAL CENTER, Travis Afb, CA 94535

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kendall J. Vermilion 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.

Other Providers at the Same Location NPPES 8

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

Dietitian, Registered (Nutrition, Renal)
DAVID GRANT MEDICAL CENTER
TRAVIS AFB, CA 94535
Nurse Anesthetist, Certified Registered
DAVID GRANT MEDICAL CENTER, 101 BODIN CIR
TRAVIS AFB, CA 94535
Military Health Care Provider (Independent Duty Medical Technicians)
DAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Radiology (Vascular & Interventional Radiology)
DAVID GRANT MEDICAL CENTER, 101 BODIN CIR
TRAVIS AFB, CA 94535
Internal Medicine (Gastroenterology)
DAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Psychologist
DAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLE, 4-EAST UNIT
TRAVIS AFB, CA 94535
Optometrist (Occupational Vision)
DAVID GRANT MEDICAL CENTER, 101 BODIN CIR
TRAVIS AFB, CA 94535
Family Medicine
DAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLE
TRAVIS AIR FORCE BASE, CA 94535

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 Kendall Vermilion's NPI number?

The NPI number for Kendall Vermilion is 1962694042. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Kendall Vermilion located?

Kendall Vermilion practices at David Grant Medical Center 101 Bodin Circle, Travis Afb, CA 94535. The listed phone number is (707) 423-5433.

What is Kendall Vermilion's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Kendall Vermilion enrolled in Medicare?

Yes. Kendall Vermilion is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendall Vermilion was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.