Individual provider Active NPI

Konstantinos Segkos, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Lehi, UT
National Provider Identifier
1700131844
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
9876842-1205 Issued in UT
Practice address
2135 W Main St Ste B107
Lehi, UT 84043-6936
Phone
(801) 655-6415
NPI assigned
Jul 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 57.025738 OH
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 9876842-1205 UT Primary
Internal Medicine Physician 207R00000X 252611 MA

Addresses

Primary practice location

2135 W Main St Ste B107
Lehi, UT 84043-6936

Mailing address

2135 W Main St Ste B107
Lehi, UT 84043-6936
Phone (801) 655-6415

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
I20170619001151 UT Practitioner - Endocrinology 0345472254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Thyroid Center PLLCGroup PAC ID 3375081292, 2 clinicians

Practice addresses (Care Compare)

2135 W Main St
Suite B107
Lehi, UT 84043-6936
Phone (801) 655-6415

Hospital & facility affiliations

  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001
  • American Fork Hospital Hospital, American Fork, UT, CCN 460023
  • Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252611MAMDInternal Medicine Physician
9876842-1205UTMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peak ENT Associates Endocrinology, Diabetes & Metabolism CurrentSince Jul 10, 2017 Accepting new patients
Utah Thyroid Center PLLC Endocrinology, Diabetes & Metabolism CurrentSince Aug 19, 2024 Accepting new patients

Locations

3000 N Triumph Blvd
Ste 260
Lehi, UT 84043
Phone (385) 287-6070

2135 W Main St
Ste B107
Lehi, UT 84043
Phone (801) 655-6415

1055 N 300 W
Ste 303
Provo, UT 84604
Phone (801) 356-1300

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

Interoperability endpoints

  • Direct secure messaging: konstantinos.segkos@1158.chartlogic.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1700131844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 W MAIN ST STE B107",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436936",
            "telephone_number": "801-655-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 W MAIN ST STE B107",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436936",
            "telephone_number": "801-655-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGKOS",
        "first_name": "KONSTANTINOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "57.025738",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "UT",
            "license": "9876842-1205",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "252611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.