DR. ROSS BRIGHAM DASTRUP MD
NPI 1902023773
Emergency Medicine in Salt Lake City, UT
About Dr. Ross Brigham Dastrup Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROSS BRIGHAM DASTRUP MD (NPI 1902023773) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Utah (7536235-1205) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Dr. Ross Brigham Dastrup Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Ross Dastrup reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- 316 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mark's Hospital
Acute Care Hospitals · Salt Lake City, UTLone Peak Hospital
Acute Care Hospitals · Draper, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILLCREEK, UT 84124
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 Ross Dastrup's NPI number?
The NPI number for Ross Dastrup is 1902023773. It was assigned to this individual provider in the NPPES registry on April 20, 2007.
Where is Ross Dastrup located?
Ross Dastrup practices at 1200 E 3900 S, Salt Lake City, UT 84124. The listed phone number is (801) 268-7975.
What is Ross Dastrup's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ross Dastrup enrolled in Medicare?
Yes. Ross 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 organization bills Medicare for Ross Dastrup's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ross Dastrup reassigns Medicare benefits to Emergency Physicians Integrated Care, LLC (Salt Lake City, UT). The 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 Ross Dastrup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ross Dastrup affiliated with any hospitals?
According to CMS data, Ross Dastrup is affiliated with St Mark's Hospital and Lone Peak Hospital.
When was this NPI record last updated?
The NPPES record for Ross Dastrup was last updated on October 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Dr. Ross Brigham Dastrup, MD · NPI 1902023773
Emergency Medicine physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 20, 2007.
## Identity
- **NPI:** 1902023773 (Entity type: Individual)
- **Enumerated:** April 20, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 7536235-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 E 3900 S, Salt Lake City, UT 84124-1300
- **Phone:** (801) 268-7975 · **Fax:** (801) 270-3324
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Physicians Integrated Care, LLC (NPI 1578598199, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Johns Hopkins University School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** October 1, 2010
- **Other identifiers:** Medicare PIN 000069555 (UT); Medicaid 1902023773 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1902023773) · Data from the CMS NPPES public registry.