Sky B Connolly, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

2000166 Issued in NM

Practice address

5310 Homestead Rd NE
Suite 301
Albuquerque, NM 87110-1437

Phone

(505) 872-4700

Fax

(505) 872-4709

NPI assigned

Sep 13, 2005

Last updated

Jan 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Dermatology

Education

Louisiana State University School of Medicine in New Orleans, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Albuquerque Dermatology Associates, PAGroup PAC ID 8921082918, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.15 of 100Reported as individual

Quality

89.37

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Albuquerque Dermatology Associates, PA

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1821045329
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1194710442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HOMESTEAD RD NE",
            "address_2": "SUITE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101437",
            "telephone_number": "505-872-4700",
            "fax_number": "505-872-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 HOMESTEAD RD NE",
            "address_2": "SUITE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101437",
            "telephone_number": "505-872-4700",
            "fax_number": "505-872-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "SKY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "2000166",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NM",
            "license": "2000166",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NM",
            "license": "2000166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RR",
            "identifier": "070015106",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM009032",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Ross Conner, DDS
• Scott Dean Conner, MMFT, LMFT
• Todd Allen Conner, PHARM.D.
• Veronica Conner
• Cherrish Connick
• Cynthia Connor
• Carl J Connors, D.O.
• Connie Connors, MD
• Dana K Connors, PHARM. D
• Marianne E Connors, LMSW

• MOHS-Micrographic Surgery Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• MOHS-Micrographic Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.