Individual provider Active NPI

Thomas Jan Konturek, M.D.

  • Gastroenterology Physician
  • Anaheim, CA
National Provider Identifier
1942651096
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A161554 Issued in CA
Practice address
100 S Anaheim Blvd Ste 250
Anaheim, CA 92805-3872
Phone
(714) 527-6000
Fax
(714) 527-2371
NPI assigned
Jun 29, 2016
Reactivated
Oct 27, 2020
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A161554 CA Primary

Addresses

Primary practice location

100 S Anaheim Blvd Ste 250
Anaheim, CA 92805-3872

Mailing address

100 S Anaheim Blvd Ste 250
Anaheim, CA 92805-3872
Phone (714) 527-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220712002222 CA Practitioner - Gastroenterology 5193105864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oc GastrocareGroup PAC ID 3779716501, 10 clinicians

Practice addresses (Care Compare)

100 S Anaheim Blvd
Suite 250
Anaheim, CA 92805-3872
Phone (714) 527-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy155
Upper gastrointestinal (GI) endoscopy for acid reflux106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161554CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Dick M Yip MD a Medical Corp Gastroenterology CurrentSince Jun 29, 2025 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Oc Gastrocare Gastroenterology CurrentSince Jul 1, 2022 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

100 S Anaheim Blvd
Ste 250
Anaheim, CA 92805
Phone (714) 527-6000

408 S Beach Blvd
Ste 211
Anaheim, CA 92804
Phone (714) 527-6000

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tkonturek102002@direct.luhs.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1942651096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ANAHEIM BLVD STE 250",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053872",
            "telephone_number": "714-527-6000",
            "fax_number": "714-527-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ANAHEIM BLVD STE 250",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053872",
            "telephone_number": "714-527-6000",
            "fax_number": "714-527-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONTUREK",
        "first_name": "THOMAS",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "deactivation_date": "2020-07-17",
        "reactivation_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A161554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.