Individual provider Active NPI

Datus Brock Thorup, M.D.

  • Pediatric Anesthesiology Physician
  • Salt Lake Cty, UT
National Provider Identifier
1881042117
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
10498714 Issued in UT
Practice address
100 N Mario Capecchi Dr
Salt Lake Cty, UT 84113-1103
Phone
(801) 662-4980
NPI assigned
May 26, 2016
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 104987141205 UT
Pediatric Anesthesiology Physician 207LP3000X 10498714 UT Primary

Addresses

Primary practice location

100 N Mario Capecchi Dr
Salt Lake Cty, UT 84113-1103

Mailing address

PO Box 3870
Salt Lake City, UT 84110-3870
Phone (801) 432-2600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200420003060 UT Practitioner - Anesthesiology 6406122951 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Apr 13, 2020 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Pediatric Anesthesiologists Inc Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
University of Utah Adult Services CurrentSince Apr 13, 2020 Accepting new patients

Locations

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: bthorup531929@direct.med.utah.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1881042117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3870",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103870",
            "telephone_number": "801-432-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MARIO CAPECCHI DR",
            "city": "SALT LAKE CTY",
            "state": "UT",
            "postal_code": "841131103",
            "telephone_number": "801-662-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORUP",
        "first_name": "DATUS",
        "middle_name": "BROCK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "104987141205",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "UT",
            "license": "10498714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake Cty, UT

Sources for this page

Verify at the official NPI Registry.