NPIMap

Individual provider Active NPI

John Clifton Crosby, MD

  • Interventional Pain Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1891783072
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
021149 Issued in LA
Practice address
4580 Bluebonnet Blvd
Baton Rouge, LA 70809-5604
Phone
(504) 754-2334
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 021149 LA Primary
Anesthesiology Physician 207L00000X 021149 LA

Addresses

Primary practice location

4580 Bluebonnet Blvd
Baton Rouge, LA 70809-5604

Mailing address

PO Box 9600
Dept 09-039 Medical Center Anesthesiologists
Texarkana, TX 75505-9600
Phone (318) 868-3151

Other practice location 1

1 Saint Mary Pl
Christis Schumper & Saint Marys Pl
Shreveport, LA 71101-4343
Phone (318) 681-4440

Other identifiers 3

IdentifierTypeStateIssuer
050089988OtherLAMEDICARE RAILROAD
1992020MedicaidLA
428255575BOtherLABLUE CROSS LA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000109 LA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 0840198487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Louisiana State University School of Medicine in Shreveport, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Pain Specialists LLCGroup PAC ID 8820124217, 7 clinicians

Practice addresses (Care Compare)

4580 Bluebonnet Blvd
Suite B
Baton Rouge, LA 70809-5604
Phone (504) 754-2334

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

Merit-based Incentive Payment System (MIPS)

Final score
89.9 of 100Reported as group
Quality
67.84
Promoting interoperability
86
Improvement activities
40
Cost
86.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021149LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Diagnostic Center of Baton Rouge, Inc a Professional Medical Cor CurrentSince Jul 1, 2015 Accepting new patients
Louisiana Pain Specialists, LLC Interventional Pain Medicine CurrentSince Feb 15, 2019 Accepting new patients
Louisiana Pain Specialists, LLC Interventional Pain Medicine CurrentSince Feb 15, 2019 Accepting new patients
Neuromedical Center PastSince Jul 1, 2015 Accepting new patients
The Capital City Anesthesia Group, LLC Anesthesiology Past Accepting new patients
Highland Clinic, a Prof Med Corp Past Accepting new patients

Locations

4580 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70809
Phone (225) 769-3636

5408 Flanders Dr
Baton Rouge, LA 70808
Phone (225) 769-5554

231 W Esplanade Ave
Ste B
Kenner, LA 70065
Phone (504) 459-4070

4520 Wichers Dr
Ste 205
Marrero, LA 70072
Phone (504) 459-4070

2706 Hessmer Ave
Ste A
Metairie, LA 70002
Phone (504) 635-2601

3434 Houma Blvd
Ste 301
Metairie, LA 70006
Phone (504) 309-6500

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

3439 Prytania St
Ste 501
New Orleans, LA 70115
Phone (504) 535-7212

Interoperability endpoints

  • Direct secure messaging: john.crosby@1482.securemail.prognocis.com
  • Direct secure messaging: johncrosby@tsdptc.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1891783072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9600",
            "address_2": "DEPT 09-039 MEDICAL CENTER ANESTHESIOLOGISTS",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755059600",
            "telephone_number": "318-868-3151",
            "fax_number": "318-861-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708095604",
            "telephone_number": "504-754-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Saint Mary Pl",
            "address_2": "Christis Schumper & Saint Marys Pl",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014343",
            "country_code": "US",
            "telephone_number": "318-681-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "JOHN",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "021149",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "021149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "050089988",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992020",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LA",
            "identifier": "428255575B",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.