Active NPI
Michael Koniuch
- Physical Medicine & Rehabilitation Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 97078441205
- Practice address
- 8074 South 1300 East
Healthsouth Rehabilitation Hospital
Salt Lake City, UT 84124 - Phone
- (801) 561-3400
- NPI assigned
- Apr 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 97078441205 | UT | Primary |
Addresses
Primary practice location
8074 South 1300 East
Healthsouth Rehabilitation Hospital
Salt Lake City, UT 84124
Mailing address
8074 South 1300 East
Healthsouth Rehabilitation Hospital
Salt Lake City, UT 84124
Phone (248) 444-6752
Other practice location 1
14839 S Canyon Point Road
Draper, UT 84020-1489
Phone (385) 414-2158
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Wayne State University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8074 S 1300
Sandy, UT 84094-0743
Phone (801) 561-3400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97078441205 | UT | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Koniuch MD | Current | Accepting new patients | |
| Redrockrehab PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Forward Medical PC | Past | Accepting new patients |
Locations
560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600
8074 S 1300 E
Sandy, UT 84094
Phone (801) 561-3400
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Sandy, UT
- NPI 1679343610
-
- Hospitalist Physician
- Sandy, UT
- NPI 1346785615
-
- General Practice Physician
- Lehi, UT
- NPI 1245039940
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Encompass Health Rehabilitation Hospital of Utah
- Rehabilitation Hospital
- Sandy, UT
- NPI 1467425173
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1225394612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8074 SOUTH 1300 EAST",
"address_2": "HEALTHSOUTH REHABILITATION HOSPITAL",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84124",
"telephone_number": "248-444-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8074 SOUTH 1300 EAST",
"address_2": "HEALTHSOUTH REHABILITATION HOSPITAL",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84124",
"telephone_number": "801-561-3400"
}
],
"practiceLocations": [
{
"address_1": "14839 S Canyon Point Road",
"address_purpose": "LOCATION",
"city": "Draper",
"state": "UT",
"postal_code": "840201489",
"country_code": "US",
"telephone_number": "385-414-2158",
"fax_number": "888-823-5887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONIUCH",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-10",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "UT",
"license": "97078441205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.