Individual provider Active NPI

Joel William Sievers, MD

  • Family Medicine Physician
  • Portales, NM
National Provider Identifier
1538103197
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002-0109 Issued in NM
Practice address
304 S Main Ave
Portales, NM 88130-6218
Phone
(575) 226-3023
Fax
(575) 226-3024
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002-0109 NM Primary

Addresses

Primary practice location

304 S Main Ave
Portales, NM 88130-6218

Mailing address

PO Box 55
Portales, NM 88130-0055
Phone (575) 226-3023

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
I20040120000345 NM Practitioner - Family PracticePractitioner - Sports Medicine 8123929387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sievers Sports Medicine IncGroup PAC ID 8628156213, 2 clinicians

Practice addresses (Care Compare)

304 S Main Ave
Portales, NM 88130-6218
Phone (575) 226-3023

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Life NM Inc CurrentSince Jan 3, 2021 Accepting new patients
Elite Medical LLC Family Medicine CurrentSince Nov 30, 2013 Accepting new patients
Sievers Sports Medicine Inc CurrentSince Apr 1, 2008 Accepting new patients
Mildred Mitchell Bateman Hospital Past Accepting new patients
Eastern Medical Associates LLC Family Medicine Past Accepting new patients
S Sean Hamashige O D PastSince Jan 3, 2021 Accepting new patients

Locations

1525 N Renaissance Blvd NE
Albuquerque, NM 87107
Phone (505) 243-3387

304 S Main Ave
Portales, NM 88130
Phone (575) 226-3023

9 Calle Medico
Santa Fe, NM 87505
Phone (505) 467-8372

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23184/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1538103197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881300055",
            "telephone_number": "575-226-3023",
            "fax_number": "575-226-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S MAIN AVE",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306218",
            "telephone_number": "575-226-3023",
            "fax_number": "575-226-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEVERS",
        "first_name": "JOEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2002-0109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

Verify at the official NPI Registry.