Active NPI
Nicole Lenore Mihalopoulos, MD
- Adolescent Medicine (Internal Medicine) Physician
- Millcreek, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 5946961-1205
- 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
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 |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5946961-1205 | UT | MD | Adolescent Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Pediatric Services | Single Specialty | Current | Accepting new patients |
| University of Utah Pediatric Services | Single Specialty | Current | Accepting new patients |
| University of Utah Pediatric Services | Current | 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
- 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.
-
- Pediatrics Physician
- Salt Lake City, UT
- NPI 1487018974
Single Specialty
-
- Adolescent Medicine (Internal Medicine) Physician
- Millcreek, UT
- NPI 1295671956
Single Specialty
-
- Pediatric Infectious Diseases Physician
- Salt Lake City, UT
- NPI 1285098855
Single Specialty
-
- Pediatric Gastroenterology Physician
- Salt Lake City, UT
- NPI 1407210545
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.