Benjamin T Dastrup, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

5484681 Issued in UT

Practice address

1483 E Ridgeline Dr Ste 100
South Ogden, UT 84405-4977

Phone

(801) 399-1149

Fax

(801) 399-0248

NPI assigned

Dec 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Columbia University College of Physicians and Surgeons, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Country Hills Eye CenterGroup PAC ID 4688629769, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.17 of 100Reported as apm

Quality

80.65

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

Interoperability endpoints

• Direct secure messaging: benjamin.dastrup.p1@direct.checdocs.nextgenshare.com
• Direct secure messaging: bdastrup@chec.intellechartdirect.net
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Country Hills Eye Center

  • Specialist
  • South Ogden, UT
  • NPI 1447460464

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• True Vision Surgical Suite LLC

  • Ambulatory Surgical Clinic/Center
  • South Ogden, UT
  • NPI 1932091873
  NPD (past)

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1073797809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 COUNTRY HILLS DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032200",
            "telephone_number": "801-399-1149",
            "fax_number": "801-394-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 E RIDGELINE DR STE 100",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054977",
            "telephone_number": "801-399-1149",
            "fax_number": "801-399-0248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5991 S 3500 W Ste 400",
            "address_purpose": "LOCATION",
            "city": "Roy",
            "state": "UT",
            "postal_code": "840676702",
            "country_code": "US",
            "telephone_number": "801-399-1149",
            "fax_number": "801-399-0248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Country Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844032200",
            "country_code": "US",
            "telephone_number": "801-399-1149",
            "fax_number": "801-394-4481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASTRUP",
        "first_name": "BENJAMIN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01062307",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "5484681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073797809",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN  (SELF)",
            "identifier": "000069325",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian R Cunningham, PMHNP-BC
• Lindsay Shepard Curtis, DDS
• Gaurav Dagar, M.D.
• Clifford Donald Daines, D D S
• Daniel J. Hansen, D.O., PLLC
• Daniel B Davenport, D.C.
• Jason Sioualofa Davidson
• Ariana Delgado, RBT
• Katelyn Brianna Densley
• Mark D Devoe, LCSW

• Ophthalmology Physician in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.