Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Benjamin Edward Northrup, MD

Individual provider Diagnostic Radiology Physician · NPI 1124256359

Dr. Benjamin Edward Northrup, MD is a Diagnostic Radiology in Saint Louis, Missouri. Qualified in 2009, 17 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Licensed in
MO
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

510 S Kingshighway Blvd Dept Radiology
Saint Louis, MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2012003483 (MO)

Record details

NPI number1124256359
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2009
Last updated in NPPESApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

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