Individual provider Active NPI

Shiva Sharma, MD

  • Psychiatry Physician
  • Albuquerque, NM
National Provider Identifier
1619243193
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD2022-1124 Issued in NM
Practice address
1209 Mountain Road PL NE Ste N
Albuquerque, NM 87110-7845
Phone
(719) 966-0534
NPI assigned
Mar 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD2022-1124 NM
Public Health & General Preventive Medicine Physician 2083P0901X MD2022-1124 NM
Psychiatry Physician 2084P0800X MD2022-1124 NM Primary

Addresses

Primary practice location

1209 Mountain Road PL NE Ste N
Albuquerque, NM 87110-7845

Mailing address

1650 Fillmore St Apt 1006
Denver, CO 80206-1590
Phone (719) 966-0534

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
I20230607002687 NM Practitioner - General Practice 1153567706 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2022-1124NMMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Psychiatric Services Inc Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
Krossroads Integrative Health and Recovery Solutions Inc CurrentSince Mar 6, 2025 Accepting new patients

Locations

400 Gold Ave SW
Ste 1300W
Albuquerque, NM 87102
Phone (505) 363-2859

400 Gold Ave SW
Ste 1300E
Albuquerque, NM 87102

1209 Mountain Road Pl NE
Ste N
Albuquerque, NM 87110
Phone (505) 295-3110

1209 Mountain Road Pl NE
Albuquerque, NM 87110
Phone (505) 933-6159

721 5th St
Las Vegas, NM 87701
Phone (505) 425-1533

6 Calle Medico
Ste 1
Santa Fe, NM 87505
Phone (505) 273-4668

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1619243193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 FILLMORE ST APT 1006",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061590",
            "telephone_number": "719-966-0534",
            "fax_number": "719-966-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 MOUNTAIN ROAD PL NE STE N",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107845",
            "telephone_number": "719-966-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "SHIVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NM",
            "license": "MD2022-1124",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NM",
            "license": "MD2022-1124",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2022-1124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.