NPIMap

Organization Active NPI

Sky Blue Health LLC

  • Internal Medicine Physician
  • Homer, NY
National Provider Identifier
1730670787
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
250558 Issued in NY
Legal business name
SKY BLUE HEALTH LLC
Practice address
15 Suits Ave
Homer, NY 13077-9416
Phone
(607) 591-5349
Fax
(607) 428-5077
NPI assigned
May 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Darshan Patel, MDNPI 1962662957
Title
Owner
Phone
(607) 591-5349

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 250558 NY Primary

Addresses

Primary practice location

15 Suits Ave
Homer, NY 13077-9416

Mailing address

15 Suits Ave
Homer, NY 13077-9416
Phone (607) 591-5349

National Provider Directory

National Provider Directory

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": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1730670787",
    "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": "607-591-5349",
            "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": "607-591-5349",
            "fax_number": "607-428-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY BLUE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DARSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-591-5349",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.