NPIMap

Individual provider Active NPI

Justin Dastrup, DO

  • Internal Medicine Physician
  • North Kansas City, MO
National Provider Identifier
1023758083
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2025001426 Issued in MO
Practice address
2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Phone
(877) 840-6992
Fax
(913) 495-3712
NPI assigned
Mar 29, 2022
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2025001426 MO Primary
Hospitalist Physician 208M00000X 2025001426 MO

Addresses

Primary practice location

2800 Clay Edwards Dr
North Kansas City, MO 64116-3220

Mailing address

2750 Clay Edwards Dr Ste 200a
North Kansas City, MO 64116-3277
Phone (877) 840-6992

Other practice location 1

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (877) 840-6992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250722000470 MO Practitioner - Internal MedicinePractitioner - Hospitalist 0648786186 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelsior Springs City HospitalGroup PAC ID 7315847209, shared by 5 NPIs, 39 clinicians
Gates Hospitalists LLCGroup PAC ID 1759287527, 9 clinicians

Practice addresses (Care Compare)

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 630-6081

2800 Clay Edwards Dr
NKC Hospital
North Kansas City, MO 64116-3220
Phone (877) 840-6992

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025001426MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Springs City Hospital CurrentSince Mar 1, 2026 Accepting new patients
Excelsior Springs City Hospital Current Accepting new patients
Excelsior Springs City Hospital CurrentSince Mar 1, 2026 Accepting new patients
Gates Hospitalists LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
New Liberty Hospital Corporation Past Accepting new patients
North Kansas City Hospital Past Accepting new patients

Locations

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

2750 Clay Edwards Dr
Ste 200A
North Kansas City, MO 64116
Phone (816) 691-2000

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

Interoperability endpoints

  • Direct secure messaging: jdastrup702026@ahs.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1023758083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR STE 200A",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163277",
            "telephone_number": "877-840-6992",
            "fax_number": "913-495-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CLAY EDWARDS DR",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163220",
            "telephone_number": "877-840-6992",
            "fax_number": "913-495-3712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Glenn Hendren Dr",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MO",
            "postal_code": "640689625",
            "country_code": "US",
            "telephone_number": "877-840-6992",
            "fax_number": "913-495-3712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASTRUP",
        "first_name": "JUSTIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2025001426",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2025001426",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.