Individual provider Active NPI

James Reese Jr., MD, MPH

  • Pediatrics Physician
  • Albuquerque, NM
National Provider Identifier
1467581272
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.202328 Issued in LA
Practice address
Unm HSC Department of Neurology
1 University of New Mexico; MSC 10-5620
Albuquerque, NM 87131-0001
Phone
(505) 272-4517
Fax
(505) 272-6692
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.202328 LA Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X D72119 MD
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD039269 DC
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD2015-0909 NM

Addresses

Primary practice location

Unm HSC Department of Neurology
1 University of New Mexico; MSC 10-5620
Albuquerque, NM 87131-0001

Mailing address

Unm HSC Department of Neurology
1 University of New Mexico; MSC 10-5620
Albuquerque, NM 87131-0001
Phone (505) 272-4517

Other identifiers 1

IdentifierTypeStateIssuer
1191591OtherLAMEDICAID PROVIDER NUMBER

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
I20160302002045 NM Practitioner - Neurology 2567630304 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.202328LAMDPediatrics Physician
D72119MDMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. CurrentSince Jan 22, 2016 Accepting new patients
Unm Medical Group Inc CurrentSince Jan 22, 2016 Accepting new patients
Presbyterian Healthcare Services Pediatrics CurrentSince Apr 13, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince Apr 13, 2021 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

201 Cedar St SE
Ste 5640
Albuquerque, NM 87106
Phone (505) 563-6530

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: jreese200982@direct.phs.org

Organizations & group practices 5

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1467581272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNM HSC DEPARTMENT OF NEUROLOGY",
            "address_2": "1 UNIVERSITY OF NEW MEXICO; MSC 10-5620",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-4517",
            "fax_number": "505-272-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNM HSC DEPARTMENT OF NEUROLOGY",
            "address_2": "1 UNIVERSITY OF NEW MEXICO; MSC 10-5620",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-4517",
            "fax_number": "505-272-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.202328",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MD",
            "license": "D72119",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "DC",
            "license": "MD039269",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NM",
            "license": "MD2015-0909",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "1191591",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.