SIEVERS SPORTS MEDICINE INC
NPI 1366631616
Family Medicine - Sports Medicine in Portales, NM

Active since October 22, 2007CLIA 32D1088929 · Waiver
304 S MAIN AVE, PORTALES, NM 88130(575) 226-3023(575) 226-3024 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sievers Sports Medicine Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIEVERS SPORTS MEDICINE INC (NPI 1366631616) is a healthcare organization registered as a sports medicine in Portales, New Mexico and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through September 7, 2028 and lists Joel William Sievers, President/director, as its authorized official.

NPPES Registry Identity

NPI1366631616
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameSIEVERS SPORTS MEDICINE INC
Location Address304 S MAIN AVEPortales, NM 88130-6218
Mailing AddressPo Box 55Portales, NM 88130-0055 · (575) 226-3023 · Fax (575) 226-3024
Fax(575) 226-3024
Organization SubpartNo
Authorized OfficialJoel William SieversPresident/director · (575) 226-3023
Enumeration DateOctober 22, 2007
Last NPPES UpdateMarch 12, 2008
✔ NPI 1366631616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in NM · 2002-0109
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
304 S MAIN AVE, Portales, NM 88130

Other Identifiers 1

Medicare UPINH09985NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sievers Sports Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew MexicoEnrollment IDO20080423000033Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sievers Sports Medicine Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1538103197
304 S MAIN AVE
Portales, NM 88130
(575) 226-3023
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1962086876
207 N UNION AVE STE E
Roswell, NM 88201
(575) 363-3189
✔ PECOS✔ Accepts Medicare88 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D1088929

Siever Sports Medicine Inc · Portales, NM
Active · expires Sep 7, 2028
CLIA Number32D1088929
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2026
Certificate Expiration DateSeptember 7, 2028
Laboratory DirectorJoel W. Sievers MD
Laboratory Phone(575) 226-3023
Laboratory LocationSiever Sports Medicine Inc304 S Main, Portales, NM 88130
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sievers Sports Medicine Inc's NPI number?

The NPI number for Sievers Sports Medicine Inc is 1366631616. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is Sievers Sports Medicine Inc located?

Sievers Sports Medicine Inc is located at 304 S Main Ave, Portales, NM 88130. The listed phone number is (575) 226-3023.

What is Sievers Sports Medicine Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Sievers Sports Medicine Inc enrolled in Medicare?

Yes. Sievers Sports Medicine Inc is registered in the Medicare PECOS enrollment system.

When is Sievers Sports Medicine Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Sievers Sports Medicine Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sievers Sports Medicine Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sievers Sports Medicine Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D1088929) is associated with this NPI, valid through September 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sievers Sports Medicine Inc was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.