OrganizationActive
Collegiate Medical LLC
NPI 1184060568 · Durable Medical Equipment & Medical Supplies · Overland Park, KS
Provider details
- NPI number
- 1184060568
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Warren Peterson, President(913) 269-0330
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6721 W 128th Pl
104
Overland Park, KS 66209-3842
Phone: (913) 269-0330
Fax: (913) 273-1070
Street-level locationGet directions
Mailing address
Po Box 9238
Shawnee Mission, KS 66201-1838
Registry dates
- Enumerated
- 2013-05-13
- Last updated
- 2013-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.