Organization Active NPI

Blue Sky Telehealth, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Greenwood Village, CO
National Provider Identifier
1649886458
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
Legal business name
BLUE SKY TELEHEALTH, LLC
Practice address
5600 S Quebec St Ste 312a
Greenwood Village, CO 80111-2208
Phone
(303) 343-6272
Fax
(303) 436-2710
NPI assigned
Sep 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Deborah Smith, J.D.
Title
Vice President/General Counsel
Phone
(303) 436-2720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0402X Primary

Addresses

Primary practice location

5600 S Quebec St Ste 312a
Greenwood Village, CO 80111-2208

Mailing address

5600 S Quebec St Ste 312a
Greenwood Village, CO 80111-2208
Phone (303) 343-6272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, TX, UT, FL, VA, CO, NY, CA, AL, GA, MD, MO, NC, RI, WA, PA, DC17 enrollments

Enrollment records 17

Enrollment IDStateProvider typePAC IDDetails
O20201111002225 ID Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID
O20201113000338 TX Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 8 practitioners
Practice locations: San Antonio, TX; Sachse, TX; Laredo, TX; Irving, TX; Houston, TX; Dallas, TX; Fulshear, TX; Austin, TX
O20201116001144 UT Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 4 practitioners
Practice locations: Kaysville, UT; St George, UT; Salt Lake City, UT
O20201124001695 FL Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Harbor, FL
O20201208001409 VA Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 1 practitioner
Practice locations: Ashburn, VA
O20211115001970 CO Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 110 practitioners
Practice locations: Denver, CO; Englewood, CO; Evergreen, CO; Greenwood Village, CO; Highlands Ranch, CO; Monument, CO; Parker, CO; Wheat Ridge, CO…
O20220623001293 NY Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 8 practitioners
Practice locations: Woodbury, NY; New York, NY; Brooklyn, NY; Denver, NY; Buffalo, NY; Amherst, NY; Astoria, NY
O20230105002435 CA Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 10 practitioners
Practice locations: Carlsbad, CA; Saratoga, CA; Redondo Beach, CA; Redlands, CA; Pasadena, CA; Oakland, CA; Mission Viejo, CA; Lathrop, CA…
O20260122000055 AL Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 3 practitioners
Practice locations: Birmingham, AL; Montgomery, AL; Indian Springs, AL
O20260209000697 GA Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 3 practitioners
Practice locations: Atlanta, GA; Decatur, GA; Savannah, GA
O20260212002419 MD Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 2 practitioners
Practice locations: Arnold, MD; Ellicott City, MD
O20260227000908 MO Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 4 practitioners
Practice locations: Riverside, MO; Lees Summit, MO; Kansas City, MO; Columbia, MO
O20260305000716 NC Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 3 practitioners
Practice locations: Winston Salem, NC; Greenville, NC; Clemmons, NC; Cary, NC
O20260311001164 RI Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, RI
O20260327003448 WA Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 4 practitioners
Practice locations: Kirkland, WA; Camas, WA; Woodinville, WA; University Place, WA
O20260328000356 PA Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 1 practitioner
Practice locations: Ambler, PA; Mont Clare, PA; Mountain Top, PA
O20260429002018 DC Part B Supplier - Clinic/Group Practice 5395155964 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

27525 Puerta Real
#300125
Mission Viejo, CA 92691

8600 Navarre Pkwy
Navarre, FL 32566
Phone (800) 435-7352

12813 Galleria Cir
Bee Cave, TX 78738
Phone (512) 816-2100

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Practitioners & affiliated clinicians

Practitioners 117

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

View all 117

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1649886458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 S QUEBEC ST STE 312A",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112208",
            "telephone_number": "303-343-6272",
            "fax_number": "303-436-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 S QUEBEC ST STE 312A",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112208",
            "telephone_number": "303-343-6272",
            "fax_number": "303-436-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY TELEHEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VICE PRESIDENT/GENERAL COUNSEL",
        "authorized_official_telephone_number": "303-436-2720",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.