| Carepoint Inpatient Blue Sky Neurology - Texas, Pllc | |
|
5600 S Quebec St Ste 312a Greenwood Vlg CO 80111-2208 | |
| (303) 478-0430 | |
| (303) 436-2710 |
| Full Name | Carepoint Inpatient Blue Sky Neurology - Texas, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5600 S Quebec St Ste 312a, Greenwood Vlg, Colorado |
| Authorized Official Name and Position | Deborah Smith (VICE PRESIDENT/GENERAL COUNSEL) |
| Authorized Official Contact | 3034780430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carepoint Inpatient Blue Sky Neurology - Texas, Pllc 5600 S Quebec St Ste 312a Greenwood Vlg CO 80111-2208 Ph: (303) 478-0430 | Carepoint Inpatient Blue Sky Neurology - Texas, Pllc 5600 S Quebec St Ste 312a Greenwood Vlg CO 80111-2208 Ph: (303) 478-0430 |
| NPI Number | 1952908725 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/17/2021 |
| Medicare PECOS PAC ID | 1557776036 |
|---|---|
| Medicare Enrollment ID | O20210215001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952908725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | William J Hwang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093714172 PECOS PAC ID: 1557260312 Enrollment ID: I20031231000484 |
| Provider Name | Sreekumaran K Nair |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578519856 PECOS PAC ID: 1456349323 Enrollment ID: I20040501000218 |
| Provider Name | Fernando Sanchez Villasenor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760595201 PECOS PAC ID: 8820077092 Enrollment ID: I20040721000438 |
| Provider Name | Aamir J Siddiqi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275503575 PECOS PAC ID: 5597709303 Enrollment ID: I20050613001203 |
| Provider Name | B Prasad Mandalapu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881639581 PECOS PAC ID: 2567468499 Enrollment ID: I20061025000130 |
| Provider Name | Prabhdeep Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205027497 PECOS PAC ID: 3779654140 Enrollment ID: I20080612000792 |
| Provider Name | Adam R Blanchette |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659540342 PECOS PAC ID: 3971663477 Enrollment ID: I20081113000310 |
| Provider Name | Sumeet Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861649527 PECOS PAC ID: 4688710403 Enrollment ID: I20091008000504 |
| Provider Name | Ernest S Sears |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730163387 PECOS PAC ID: 3971640012 Enrollment ID: I20091022000454 |
| Provider Name | Elizabeth Carroll |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215124151 PECOS PAC ID: 1052561230 Enrollment ID: I20121024000492 |
| Provider Name | Christopher Fanale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598776452 PECOS PAC ID: 6103803465 Enrollment ID: I20130709000568 |
| Provider Name | Jeffrey Wagner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033321914 PECOS PAC ID: 2769580075 Enrollment ID: I20130716000356 |
| Provider Name | Ira Chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285645440 PECOS PAC ID: 3678556727 Enrollment ID: I20130716000444 |
| Provider Name | Abraham Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134306566 PECOS PAC ID: 9032276258 Enrollment ID: I20130906000519 |
| Provider Name | Usha Aryal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073712287 PECOS PAC ID: 2163657362 Enrollment ID: I20131024000090 |
| Provider Name | Ikechukwu John Obih |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811156730 PECOS PAC ID: 5395977128 Enrollment ID: I20140410000392 |
| Provider Name | Bahram Hormozdi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386800266 PECOS PAC ID: 6002051471 Enrollment ID: I20150318001299 |
| Provider Name | Rahul Damani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407167802 PECOS PAC ID: 1153634118 Enrollment ID: I20150720002136 |
| Provider Name | Salman Zubair |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316027402 PECOS PAC ID: 3274698345 Enrollment ID: I20151211001089 |
| Provider Name | Daniel I Schere |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639369366 PECOS PAC ID: 6002064045 Enrollment ID: I20160829000390 |
| Provider Name | Ishan Adhikari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205129673 PECOS PAC ID: 5193015121 Enrollment ID: I20170814002145 |
| Provider Name | Kinjal Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679860290 PECOS PAC ID: 5294050951 Enrollment ID: I20171212000041 |
| Provider Name | Fatoumata Sakho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851737985 PECOS PAC ID: 6305142530 Enrollment ID: I20180620000244 |
| Provider Name | Debra Kaye Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013424720 PECOS PAC ID: 7315293792 Enrollment ID: I20180628000389 |
| Provider Name | Adriana Maria Rosero Enriquez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730523424 PECOS PAC ID: 5193005734 Enrollment ID: I20180813002031 |
| Provider Name | Jaswinder Pal Singh |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1831416262 PECOS PAC ID: 0345561262 Enrollment ID: I20180822001244 |
| Provider Name | Charoskhon Yakubdjanovna Turabova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093135055 PECOS PAC ID: 2860798758 Enrollment ID: I20190722001263 |
| Provider Name | Navin Kumar Kesari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467879940 PECOS PAC ID: 4082916119 Enrollment ID: I20190912001673 |
| Provider Name | Saviour Kelechi Achilike |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033506688 PECOS PAC ID: 9032440433 Enrollment ID: I20191016002685 |
| Provider Name | Marcie L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871135301 PECOS PAC ID: 3476976119 Enrollment ID: I20200714000355 |
| Provider Name | Scott Heller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558570127 PECOS PAC ID: 0547583635 Enrollment ID: I20200909002441 |
| Provider Name | Chalita Charles Atallah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265731418 PECOS PAC ID: 9638478589 Enrollment ID: I20201113001792 |
| Provider Name | Alicia Bennett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023317633 PECOS PAC ID: 6002033370 Enrollment ID: I20201116000341 |
| Provider Name | Jessica Lynn Danison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477874618 PECOS PAC ID: 2163640590 Enrollment ID: I20201116000627 |
| Provider Name | Adam Kristopher Graham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427252725 PECOS PAC ID: 2860653334 Enrollment ID: I20201116000909 |
| Provider Name | Dominic A Hovsepian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154749588 PECOS PAC ID: 5991136160 Enrollment ID: I20201116001146 |
| Provider Name | Kourosh Kahkeshani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992048615 PECOS PAC ID: 1759714504 Enrollment ID: I20201116001263 |
| Provider Name | Yin Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639764624 PECOS PAC ID: 4082021811 Enrollment ID: I20210323002604 |
| Provider Name | Pouya Khankhanian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689093668 PECOS PAC ID: 5395044036 Enrollment ID: I20210625000531 |
| Provider Name | Timothy R Fullam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952720104 PECOS PAC ID: 9830488691 Enrollment ID: I20210913002907 |
| Provider Name | Kim Shawn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356018766 PECOS PAC ID: 8224427455 Enrollment ID: I20211110000042 |
| Provider Name | Jordan K Gould |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972041028 PECOS PAC ID: 5193000560 Enrollment ID: I20220519000812 |
| Provider Name | Aizaz Hundal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053846196 PECOS PAC ID: 9032487319 Enrollment ID: I20220622002598 |
| Provider Name | Randall S Bossler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245659325 PECOS PAC ID: 1456634799 Enrollment ID: I20220913001398 |
| Provider Name | Jimmy V. Berthaud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386910354 PECOS PAC ID: 3476840778 Enrollment ID: I20221130001954 |
| Provider Name | Paul Elsbernd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992164719 PECOS PAC ID: 8729344064 Enrollment ID: I20230303000123 |
| Provider Name | Lionel Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225483035 PECOS PAC ID: 4688076466 Enrollment ID: I20230531003589 |
| Provider Name | Necrisha Nadia Cleavia Roach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073969903 PECOS PAC ID: 0244524718 Enrollment ID: I20230531003686 |
| Provider Name | Rebecca Milholland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063610376 PECOS PAC ID: 0244482057 Enrollment ID: I20230817002394 |
| Provider Name | Morgan C Jordan |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1235670019 PECOS PAC ID: 3072853274 Enrollment ID: I20240305002675 |
| Provider Name | Nkeiruka Nwapa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881189215 PECOS PAC ID: 3476990169 Enrollment ID: I20240318000436 |
| Provider Name | Jamal Farooq Khattak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144648429 PECOS PAC ID: 7214242643 Enrollment ID: I20240510000434 |
| Provider Name | Muhammad Anjum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275744526 PECOS PAC ID: 4981052040 Enrollment ID: I20240607001455 |
Integrated Mobile Medical Suncrest Advanced Illness Management Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5700 S Quebec St Ste 310, Greenwood Vlg, CO 80111 Phone: 719-247-1600 Fax: 801-883-8044 |