Organization Active NPI

Ultreia Health P.a.

  • Durable Medical Equipment & Medical Supplies
  • Lenexa, KS
National Provider Identifier
1952843765
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ULTREIA HEALTH P.A.
Practice address
11033 Hauser St
Lenexa, KS 66210-3708
Phone
(913) 267-5100
NPI assigned
Nov 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Dr. David Allan Cocanower, M.D.NPI 1235270745
Title
President
Phone
(913) 267-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11033 Hauser St
Lenexa, KS 66210-3708

Mailing address

11033 Hauser St
Lenexa, KS 66210-3708
Phone (913) 267-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240429002060 KS DME Supplier - Medical Supply Company 1355781063 Practice locations: Lenexa, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ultreia Health PA11033 Hauser St, Lenexa, KS 66210-3708(913) 267-5100 Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices Does not accept assignmentParticipating since Mar 15, 2024

National Provider Directory

National Provider Directory

Locations

11033 Hauser St
Overland Park, KS 66210
Phone (913) 267-5100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1952843765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11033 HAUSER ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662103708",
            "telephone_number": "913-267-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11033 HAUSER ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662103708",
            "telephone_number": "913-267-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTREIA HEALTH P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "COCANOWER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-267-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.