Active NPI
John David Konsek, MD
- Surgery Physician
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 21187
- Practice address
- 160 Academy Ave
Greenwood, SC 29646 - Phone
- (864) 223-8090
- Fax
- (864) 223-4026
- NPI assigned
- Aug 21, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 21187 | SC | Primary |
Addresses
Primary practice location
160 Academy Ave
Greenwood, SC 29646
Mailing address
160 Academy Ave
Greenwood, SC 29646
Phone (864) 223-8090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP5280 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- General Surgery
- Education
- Medical College of Wisconsin, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111
160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090
Hospital & facility affiliations
- Self Regional Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 37 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Medical Group | Surgery | Current | Accepting new patients |
| Self Medical Group | Surgery | Current | Accepting new patients |
| Self Medical Group | Current | Accepting new patients | |
| Self Regional Healthcare | Past | Accepting new patients | |
| Greenwood Surgical Assoc. | Surgery | Past | Accepting new patients |
| Self Medical Group | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
23013 Highway 76 E
Ste 100
Clinton, SC 29325
Phone (800) 233-5733
160 Academy Ave
Greenwood, SC 29646
Phone (864) 223-7809
22580 Highway 76 E
Ste 200
Laurens, SC 29360
Phone (864) 725-1480
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Interoperability endpoints
- jkonsek127313@selfregional.direct-ci.net
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Gastroenterology Physician
- Greenwood, SC
- NPI 1841047560
-
- Family Medicine Physician
- Newberry, SC
- NPI 1548068398
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Hospital
-
- Pain Medicine (Anesthesiology) Physician
- Clinton, SC
- NPI 1720938103
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1639285083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 ACADEMY AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "29646",
"telephone_number": "864-223-8090",
"fax_number": "864-223-4026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ACADEMY AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "29646",
"telephone_number": "864-223-8090",
"fax_number": "864-223-4026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONSEK",
"first_name": "JOHN",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "21187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP5280",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.