Individual provider Active NPI

Sean Fraser, MD

  • Pediatrics Physician
  • Albuquerque, NM
National Provider Identifier
1013542380
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD2025-1075 Issued in NM
Practice address
4333 Pan American Fwy NE
Albuquerque, NM 87107-6833
Phone
(505) 266-3835
NPI assigned
Mar 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD2025-1075 NM Primary

Addresses

Primary practice location

4333 Pan American Fwy NE
Albuquerque, NM 87107-6833

Mailing address

4333 Pan American Fwy NE
Albuquerque, NM 87107-6833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260610001759 NM Practitioner - Pediatric Medicine 3779054747

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12127B State Hwy 14 N
Suite 5
Cedar Crest, NM 87008

12127B State Hwy 14 N
Suite 5
Cedar Crest, NM 87008-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2025-1075NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bebe Care Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sfraser64077@valleychildrens-prd.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1013542380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 PAN AMERICAN FWY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 PAN AMERICAN FWY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076833",
            "telephone_number": "505-266-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "SEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-07",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2025-1075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.