Blue Sky Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BLUE SKY PEDIATRICS PLLC

Practice address

878 S Denton Tap Rd Ste 250
Coppell, TX 75019-4565

Phone

(972) 636-4016

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Sayaka ImagawaNPI 1174942247

Title

MD

Phone

(858) 229-0542

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Sayaka Imagawa, MD

  • Pediatrics Physician
  • Coppell, TX
  • NPI 1174942247
  NPD (past) Authorized official
• Whitney Bledsoe

  • Urgent Care Clinic/Center
  • Coppell, TX
  • NPI 1265307938

  Pediatrics

  NPD (past)
• Jenna O'Brien, FNP-C

  • Family Nurse Practitioner
  • West Lake Hills, TX
  • NPI 1578017869
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1891427613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 S DENTON TAP RD STE 250",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194565",
            "telephone_number": "972-636-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 S DENTON TAP RD STE 250",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194565",
            "telephone_number": "972-636-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "IMAGAWA",
        "authorized_official_first_name": "SAYAKA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "858-229-0542"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aparna Sachin Biradar
• Jason Peter Bird, DPT
• Shelby Blanton, OTR
• Whitney Bledsoe
• Jason Blose, OTR/L
• Lavanya Boddu, MD
• Michael James Bologna, D.C.
• John Urban Bond, DDS
• Rhonda G Bond, PA
• Kathleen Susan Bonilla, RDH

• Pediatrics Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.