Individual provider Active NPI

Nicole Lenore Mihalopoulos, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Millcreek, UT
National Provider Identifier
1316026883
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
5946961-1205 Issued in UT
Practice address
4578 S Highland Dr Ste 380
Millcreek, UT 84117-4204
Phone
(801) 306-3632
Fax
(801) 306-3633
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0000X 5946961-1205 UT Primary

Addresses

Primary practice location

4578 S Highland Dr Ste 380
Millcreek, UT 84117-4204

Mailing address

4107 E Oakview Dr
Salt Lake City, UT 84124-4043
Phone (801) 306-3632

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
I20051110001033 UT Practitioner - Internal MedicinePractitioner - Preventive Medicine 6103844899 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5946961-1205UTMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Services Single Specialty CurrentSince Sep 1, 2016 Accepting new patients
University of Utah Pediatric Services Single Specialty Current Accepting new patients
University of Utah Pediatric Services CurrentSince Sep 1, 2016 Accepting new patients
Ever Better Health PC Single Specialty Current Accepting new patients

Locations

4578 S Highland Dr
Ste 380
Salt Lake Cty, UT 84117
Phone (801) 274-9060

81 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 662-5700

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

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

Interoperability endpoints

  • Direct secure messaging: nmihalopoulos16235@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1316026883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 E OAKVIEW DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244043",
            "telephone_number": "801-306-3632",
            "fax_number": "801-306-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 S HIGHLAND DR STE 380",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841174204",
            "telephone_number": "801-306-3632",
            "fax_number": "801-306-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHALOPOULOS",
        "first_name": "NICOLE",
        "middle_name": "LENORE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "UT",
            "license": "5946961-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millcreek, UT

Sources for this page

Verify at the official NPI Registry.