Individual provider Active NPI

Colin Michael Sevareid, MD

  • Addiction Medicine (Family Medicine) Physician
  • Albuquerque, NM
National Provider Identifier
1457930596
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD2024-0780 Issued in NM
Practice address
203 California St NE
Albuquerque, NM 87108-1802
Phone
(505) 206-0288
Fax
(505) 433-5096
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2024-0780 NM
Addiction Medicine (Family Medicine) Physician 207QA0401X MD2024-0780 NM Primary

Addresses

Primary practice location

203 California St NE
Albuquerque, NM 87108-1802

Mailing address

203 California St NE
Albuquerque, NM 87108-1802

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
I20210728002223 NM Order and Referring Only - Family PracticePractitioner - Family Practice 1355744327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2024-0780NMMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1457930596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CALIFORNIA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CALIFORNIA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081802",
            "telephone_number": "505-206-0288",
            "fax_number": "505-433-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVAREID",
        "first_name": "COLIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2024-0780",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NM",
            "license": "MD2024-0780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.