Active NPI
Dominic Royster, DO
- Anesthesiology Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 05-51123
- Practice address
- 10500 Quivira Rd
Overland Park, KS 66215-2306 - Phone
- (913) 541-5000
- Fax
- (913) 428-2951
- NPI assigned
- Apr 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0008155 | CO | |
| Anesthesiology Physician | 207L00000X | 05-51123 | KS | Primary |
Addresses
Primary practice location
10500 Quivira Rd
Overland Park, KS 66215-2306
Mailing address
8717 W 110TH St Ste 600
Overland Park, KS 66210-2126
Phone (913) 428-2900
Other practice location 1
13001 E 17th Pl
Aurora, CO 80045-2570
Phone (303) 724-1788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5528
Hospital & facility affiliations
- Overland Park Reg Med Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-51123 | KS | MD | Anesthesiology Physician |
| 0008155 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Kansas City PA | Anesthesiology | Current | Accepting new patients |
Locations
8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910
10601 Quivira Rd
Ste 100
Overland Park, KS 66215
Phone (913) 541-8897
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1013546571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 W 110TH ST STE 600",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102126",
"telephone_number": "913-428-2900",
"fax_number": "913-428-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 QUIVIRA RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662152306",
"telephone_number": "913-541-5000",
"fax_number": "913-428-2951"
}
],
"practiceLocations": [
{
"address_1": "13001 E 17th Pl",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452570",
"country_code": "US",
"telephone_number": "303-724-1788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROYSTER",
"first_name": "DOMINIC",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-06",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "0008155",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KS",
"license": "05-51123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.