Individual provider Active NPI

Dominique M Crain, M.D.

  • Pulmonary Disease Physician
  • Olathe, KS
National Provider Identifier
1093741969
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
04-33476 Issued in KS
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

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200671820AMedicaidKS
30004194000001MedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
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 Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

Merit-based Incentive Payment System (MIPS)

Final score
24.74 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Feb 28, 2024 Accepting new patients
Lawrence Physicians LLC Pulmonary Disease CurrentSince Feb 28, 2024 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.

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.

Verify at the official NPI Registry.