Active NPI
Dominique M Crain, M.D.
- Pulmonary Disease Physician
- Olathe, KS
National Provider Identifier
1093741969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 04-33476
- Practice address
- 20375 W 151St St
451
Olathe, KS 66061-5306 - Phone
- (913) 829-0446
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 04-33476 | KS | Primary |
Addresses
Primary practice location
20375 W 151St St
451
Olathe, KS 66061-5306
Mailing address
20375 W 151St St
451
Olathe, KS 66061-5306
Phone (913) 829-0446
Other practice location 1
1130 W 4th St Ste 2001
Lawrence, KS 66044-1345
Phone (785) 505-3205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200671820A | Medicaid | KS | |
| 30004194000001 | Medicaid | KS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dominique.crain@direct.lmh.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 79.76
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.08
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.74 of 100
- Quality
- 16.27
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 66.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Physicians LLC | Current | Accepting new patients | |
| Lawrence Physicians LLC | Pulmonary Disease | Current | Accepting new patients |
| Lawrence Physicians LLC | Current | Accepting new patients |
Locations
1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636
1130 W 4th St
Ste 2001
Lawrence, KS 66044
Phone (785) 505-3205
325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988
Organizations & group practices 3
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.
-
- Surgery Physician
- Lawrence, KS
- NPI 1528603719
-
- Hospitalist Physician
- Lawrence, KS
- NPI 1841607090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1093741969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20375 W 151ST ST",
"address_2": "451",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615306",
"telephone_number": "913-829-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20375 W 151ST ST",
"address_2": "451",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615306",
"telephone_number": "913-829-0446"
}
],
"practiceLocations": [
{
"address_1": "1130 W 4th St Ste 2001",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660441345",
"country_code": "US",
"telephone_number": "785-505-3205",
"fax_number": "785-505-5261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAIN",
"first_name": "DOMINIQUE",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KS",
"license": "04-33476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200671820A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004194000001",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dominique.crain@direct.lmh.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1130 W 4th St Ste 2001",
"city": "Lawrence",
"state": "KS",
"country_code": "US",
"postal_code": "660441345",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.