1. Home
  2. Directory
  3. Kansas
  4. Overland Park
  5. Clinic Center
  6. NPI Profile

COLLEGE PARK ENDOSCOPY CENTER, LLC
NPI 1629510326
Clinic/Center - Ambulatory Surgical in Overland Park, KS

Active since November 11, 2016
10787 NALL AVE, SUITE 100, OVERLAND PARK, KS 66211(913) 652-9255 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, Oct 19, 2022, Feb 15, 2018 and 1 more (4 updates tracked since 2016).

About College Park Endoscopy Center, Llc NPPES

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

COLLEGE PARK ENDOSCOPY CENTER, LLC (NPI 1629510326), doing business as College Park Surgery Center, is a healthcare organization registered as an ambulatory surgical in Overland Park, Kansas and active in the NPI registry since November 2016. The organization lists David Mcknight, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1629510326
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOLLEGE PARK ENDOSCOPY CENTER, LLC
Location Address10787 NALL AVE, SUITE 100Overland Park, KS 66211-1375
Mailing Address10787 Nall Ave Ste 100Overland Park, KS 66211-1373 · (913) 652-9255
Phone(913) 652-9255
Organization SubpartNo
Authorized OfficialDavid McknightVp/cfo · (972) 789-2816
Enumeration DateNovember 11, 2016
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1629510326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
10787 NALL AVE, Overland Park, KS 66211
Open in Google Maps ↗

Other Names 1

Doing Business AsCollege Park Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
153 services153 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
120 services120 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
80 services78 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
74 services50 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
68 services68 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
40 services40 patients

Other Providers at the Same Location NPPES 20

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

DR. PAUL G DIEDERICH M.D.
Internal Medicine
10787 NALL AVE, STE. 310
OVERLAND PARK, KS 66211
Johnson County (913) 945-6900
GRETCHEN P POLAND ARNP-C
Nurse Practitioner (Family)
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
KATHRYN TIMM ARNP-C
Nurse Practitioner (Family)
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
DOUGLAS S. ANDERSON M.D.
Family Medicine
10787 NALL AVE, SUITE 310
OVERLAND PARK, KS 66211
Johnson County (913) 945-6900
CELINA C BERNABE DO
Allergy & Immunology
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
JAYHAWK PRIMARY CARE INC
Internal Medicine
10787 NALL AVE, STE 310
OVERLAND PARK, KS 66211
Johnson County (913) 945-6900
DUSTIN P BAKER APRN, FNP-C
Nurse Practitioner (Family)
10787 NALL AVE
OVERLAND PARK, KS 66211
Johnson County (913) 588-0000
DR. MICHAEL GREEN D.C
Chiropractor
10787 NALL AVE, SUITE 110
OVERLAND PARK, KS 66211
Johnson County (913) 667-2829

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 College Park Endoscopy Center, LLC's NPI number?

The NPI number for College Park Endoscopy Center, LLC is 1629510326. It was assigned to this organization in the NPPES registry on November 11, 2016. The provider is doing business as College Park Surgery Center.

Where is College Park Endoscopy Center, LLC located?

College Park Endoscopy Center, LLC is located at 10787 Nall Ave Suite 100, Overland Park, KS 66211. The listed phone number is (913) 652-9255.

What is College Park Endoscopy Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does College Park Endoscopy Center, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list College Park Endoscopy Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for College Park Endoscopy Center, LLC was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.