Organization Active NPI

Blue Sky Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Boulder, CO
National Provider Identifier
1609637149
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
BLUE SKY FOOT & ANKLE
Practice address
3400 Table Mesa Dr Ste 102
Boulder, CO 80305-5850
Phone
(720) 798-3208
Fax
(720) 798-5924
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Meghan Kathleen Morgan, DPMNPI 1871084665
Title
Podiatrist, Owner
Phone
(253) 514-2559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

3400 Table Mesa Dr Ste 102
Boulder, CO 80305-5850

Mailing address

300 Center Drive
Suite G, #395
Superior, CO 80027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240423000729 CO Part B Supplier - Clinic/Group Practice 4284073362 Receives reassigned benefits from 1 practitioner
Practice locations: Boulder, CO
O20240729001686 CO DME Supplier - Physician - Podiatry 4284073362 Practice locations: Boulder, CO

National Provider Directory

National Provider Directory

Locations

3400 Table Mesa Dr
Ste 102
Boulder, CO 80305
Phone (720) 772-6180

3464 S Willow St
Ste 116
Denver, CO 80231

300 Center Dr
Ste G
Superior, CO 80027
Phone (920) 556-5487

Practitioners & affiliated clinicians

Practitioners 1

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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1609637149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTER DRIVE",
            "address_2": "SUITE G, #395",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "80027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TABLE MESA DR STE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055850",
            "telephone_number": "720-798-3208",
            "fax_number": "720-798-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY FOOT & ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PODIATRIST, OWNER",
        "authorized_official_telephone_number": "253-514-2559",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.