Organization Active NPI

Clear Sky Medical, PC

  • Family Medicine Physician
  • Centennial, CO
National Provider Identifier
1306976519
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44224 Issued in CO
Legal business name
CLEAR SKY MEDICAL, PC
Practice address
9085 E Mineral Cir
Suite 260
Centennial, CO 80112-3462
Phone
(303) 790-7860
Fax
(855) 421-3745
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Dr. Katharina Katja Isabel Meier, M.D.
Title
Owner
Phone
(303) 790-7860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 44224 CO Primary

Addresses

Primary practice location

9085 E Mineral Cir
Suite 260
Centennial, CO 80112-3462

Mailing address

9085 E Mineral Cir
Suite 260
Centennial, CO 80112-3462
Phone (303) 790-7860

Other identifiers 4

IdentifierTypeStateIssuer
1144266180OtherCOINDIVIDUAL NPI
1306976519OtherCONPI
44224OtherCOLICENSE
COB4372OtherCOPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090302000245 CO Part B Supplier - Clinic/Group Practice 3870659782 Receives reassigned benefits from 1 practitioner
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory
Tax ID family
Clear Sky Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1306976519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 E MINERAL CIR",
            "address_2": "SUITE 260",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123462",
            "telephone_number": "303-790-7860",
            "fax_number": "855-421-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 E MINERAL CIR",
            "address_2": "SUITE 260",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123462",
            "telephone_number": "303-790-7860",
            "fax_number": "855-421-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SKY MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "MEIER",
        "authorized_official_first_name": "KATHARINA KATJA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-790-7860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "44224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1144266180",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306976519",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "44224",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "COB4372",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.