BLUESKY FAMILY MEDICINE – NPI #1104122621
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

BLUESKY FAMILY MEDICINE is a psychiatry & neurologist located in PHOENIX, AZ. NPPES has assigned the NPI number 1104122621 to BLUESKY FAMILY MEDICINE on January 31, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BLUESKY FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is SOUTHWEST NEUROLOGY AND SLEEP MEDICINE LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 7 years ago on Apr 23, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUESKY FAMILY MEDICINE below.

NPI Profile for
SOUTHWEST NEUROLOGY AND SLEEP MEDICINE LLC

NPI Number
1104122621
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHWEST NEUROLOGY AND SLEEP MEDICINE LLC
Doing Business As (dba): BLUESKY FAMILY MEDICINE
Primary location
2401 W GLENDALE AVE STE 203
PHOENIX, AZ 85021-7677
Phone: (602) 772-5770 Fax: (602) 772-5771
Mailing address
Same as primary location
Organization Subpart
Yes - BLUESKY FAMILY MEDICINE is subpart of another organization.
Authorized Official
SUMAIRA DOORANI
MANAGER
Phone: (602) 772-5770
Updated
Identifiers

Identifiers for BLUESKY FAMILY MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPTANAZZ143146
MEDICAIDWA8293938
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
207QS1201X
- Family Medicine / Sleep Medicine
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.