Organization Active NPI

Crimson Pain Management, LLC

  • Pain Medicine Physician
  • Overland Park, KS
National Provider Identifier
1740528637
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
CRIMSON PAIN MANAGEMENT, LLC
Practice address
5701 W. 119TH St Ste 102
Overland Park, KS 66209
Phone
(913) 498-6124
Fax
(913) 498-6117
NPI assigned
Jan 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Miss Dontay Ross
Title
Office Manager
Phone
(913) 242-7570

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

5701 W. 119TH St Ste 102
Overland Park, KS 66209

Mailing address

5401 College Blvd Ste 111
Leawood, KS 66211-1626
Phone (913) 242-7570

Other identifiers 1

IdentifierTypeStateIssuer
7905560001OtherKSDME

Other names 1

  • Interventional Pain Management Specialist Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130513000321 MO Part B Supplier - Clinic/Group Practice 4880831726 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO
O20130517000558 KS Part B Supplier - Clinic/Group Practice 4880831726 Receives reassigned benefits from 3 practitioners
Practice locations: Overland Park, KS
O20210621001950 KS DME Supplier - Physician - General Practice 4880831726 Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

5401 College Blvd
Leawood, KS 66211

5401 College Blvd
Ste 111
Overland Park, KS 66211
Phone (913) 242-7570

3840 W 75th St
Prairie Vlg, KS 66208
Phone (913) 384-9600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHIBDD

Practitioners & affiliated clinicians

Practitioners 3

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": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1740528637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 COLLEGE BLVD STE 111",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111626",
            "telephone_number": "913-242-7570",
            "fax_number": "913-242-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W. 119TH ST STE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "913-498-6124",
            "fax_number": "913-498-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIMSON PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DONTAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-242-7570",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "7905560001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Pain Management Specialist",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.