Blue Sky Health LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

250558 Issued in NY

Legal business name

BLUE SKY HEALTH LLC

Practice address

15 Suits Ave
Homer, NY 13077-9416

Phone

(607) 756-5000

Fax

(607) 428-5077

NPI assigned

Sep 13, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darshan Patel, MDNPI 1962662957

Title

President

Phone

(917) 862-2499

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darshan Patel, MD

  • Hospitalist Physician
  • Cortland, NY
  • NPI 1962662957

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174042915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SUITS AVE",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130779416",
            "telephone_number": "607-756-5000",
            "fax_number": "607-428-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SUITS AVE",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130779416",
            "telephone_number": "607-756-5000",
            "fax_number": "607-428-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DARSHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-862-2499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03033194",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leanne Albro
• Danielle Annette Bellumori, NP
• Virginia Bersani, D.O.
• Mary Lou Betters, L.P.N.
• Emily Rae Borter, LMT
• Kristopher Michael Bradt, D.C.
• Joanne Brumm
• Janel Burhans
• Cedarwood Homer Community LLC

• Internal Medicine Physician in Homer, NY
• Providers in Homer, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.