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JUSTIN DASTRUP DO
NPI 1023758083
Internal Medicine in North Kansas City, MO

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116(877) 840-6992(913) 495-3712 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Justin Dastrup Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN DASTRUP DO (NPI 1023758083) is an individual internal medicine provider in North Kansas City, Missouri, licensed in Missouri (2025001426) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains a secondary practice location in Liberty.

NPPES Registry Identity

NPI1023758083
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN DASTRUPCredential: DO
Location Address2800 CLAY EDWARDS DRNorth Kansas City, MO 64116-3220
Mailing Address2750 Clay Edwards Dr Ste 200aNorth Kansas City, MO 64116-3277 · (877) 840-6992 · Fax (913) 495-3712
Phone(877) 840-6992
Fax(913) 495-3712
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2022
Enumeration DateMarch 29, 2022
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1023758083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2025001426
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 2025001426 (MO)
2800 CLAY EDWARDS DR, North Kansas City, MO 64116
Open in Google Maps ↗

Secondary Practice Location 1

Location 12525 Glenn Hendren DrLiberty, MO 64068-9625 · Phone (877) 840-6992 · Fax (913) 495-3712

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Dastrup Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648786186
PECOS Enrollment IDI20250722000470
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Justin Dastrup reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gates Hospitalists LLC
Same address
Internal Medicine
2750 CLAY EDWARDS DR STE 200A
North Kansas City, MO 64116
  • Reassigned Medicare billing, Missouri enrollment
  • 22 clinicians in this Medicare group
NPI 1699774893 (816) 968-9320
Excelsior Springs City Hospital
22 mi
Critical Access
1700 RAINBOW BLVD
Excelsior Springs, MO 64024
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1285733923 (Missouri)
  • 120 clinicians in this Medicare group
NPI 1609870310 (816) 630-6081
Ray County Memorial Hospital
33 mi
Critical Access
904 WOLLARD BLVD
Richmond, MO 64085
  • Reassigned Medicare billing, Missouri enrollment
  • 82 clinicians in this Medicare group
NPI 1245220052 (816) 470-5432
Carroll County Memorial Hospital
59 mi
Critical Access
1502 N JEFFERSON ST
Carrollton, MO 64633
  • Reassigned Medicare billing, Missouri enrollment
  • 91 clinicians in this Medicare group
NPI 1528067113 (660) 542-1695

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260177
Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay County
Emergency services Birthing friendly

Excelsior Springs Hospital

Critical Access Hospitals · Excelsior Springs, MO
OwnershipGovernment - Local
CMS Certification Number261322
Location1700 Rainbow BoulevardExcelsior Springs, MO 64024 · Clay County
Emergency services

Carroll County Memorial Hospital

Critical Access Hospitals · Carrollton, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261332
Location1502 North JeffersonCarrollton, MO 64633 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYDNEY JUERGENS RD, LD
Dietitian, Registered
2800 CLAY EDWARDS DR
KANSAS CITY, MO 64116
Clay County (816) 691-8548
NORTH KANSAS CITY HOSPITAL
Pharmacy (Community/Retail Pharmacy)
2800 CLAY EDWARDS DR
NORTH KANSAS CITY, MO 64116
Clay County (816) 691-2000
PAIN SOURCE SOLUTIONS LLC
Anesthesiology (Pain Medicine)
2800 CLAY EDWARDS DR
NORTH KANSAS CITY, MO 64116
Clay County (816) 221-4114
JULIA J. NEPERUD MD
Radiology (Diagnostic Radiology)
2800 CLAY EDWARDS DR
KANSAS CITY, MO 64116
Clay County (816) 691-5201
MRS. LEAH NOEL CARMICHAEL FNP-C
Nurse Practitioner (Family)
2800 CLAY EDWARDS DR
KANSAS CITY, MO 64116
Clay County (816) 691-2000
AMELA HALILOVIC
Pharmacy Technician
2800 CLAY EDWARDS DR
KANSAS CITY, MO 64116
Clay County (816) 691-1255
DR. MARCI A BRECHEISEN MD
Radiology (Diagnostic Radiology)
2800 CLAY EDWARDS DR
KANSAS CITY, MO 64116
Clay County (816) 691-5201
KAYLA MELANSON RD
Dietitian, Registered
2800 CLAY EDWARDS DR
NORTH KANSAS CITY, MO 64116
Clay County (816) 691-8183

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Dastrup's NPI number?

The NPI number for Justin Dastrup is 1023758083. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Justin Dastrup located?

Justin Dastrup practices at 2800 Clay Edwards Dr, North Kansas City, MO 64116. The listed phone number is (877) 840-6992.

What is Justin Dastrup's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Dastrup enrolled in Medicare?

Yes. Justin Dastrup is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Justin Dastrup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Dastrup reassigns Medicare benefits to 4 organizations: Gates Hospitalists LLC (North Kansas City, MO), Excelsior Springs City Hospital (Excelsior Springs, MO), Ray County Memorial Hospital (Richmond, MO) and Carroll County Memorial Hospital (Carrollton, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Dastrup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Dastrup accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Justin Dastrup as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justin Dastrup affiliated with any hospitals?

According to CMS data, Justin Dastrup is affiliated with University Of Kansas Hospital, North Kansas City Hospital, New Liberty Hospital District, Excelsior Springs Hospital and Carroll County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Justin Dastrup was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.