Active NPI
Mary Lynne Reuss, M.D.
- Obstetrics & Gynecology Physician
- Albuquerque, NM
National Provider Identifier
1659443299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 122409-1
- Practice address
- 4600 Montgomery Blvd NE # a
Suite 101
Albuquerque, NM 87109-1210 - Phone
- (505) 884-9687
- Fax
- (505) 884-9688
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2003 0502 | NM | |
| Obstetrics & Gynecology Physician | 207V00000X | G33665 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 122409-1 | NY | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | 2003-0502 | NM |
Addresses
Primary practice location
4600 Montgomery Blvd NE # a
Suite 101
Albuquerque, NM 87109-1210
Mailing address
PO Box 2160
Corrales, NM 87048-2160
Phone (505) 884-9687
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P-12036477 | Other | NM | MULTIPLAN HEALTH PLAN |
| 900117328-006 | Other | NM | CIGNA HEALTH PLAN |
| 009L79 | Other | NM | BCBS PROVIDER NO. |
| 900117328 87109 A001 | Other | NM | TRICARE HEALTH PLAN |
| 00NM009L79 | Other | NM | HMO NEW MEXICO BCBS |
| 53157532 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G33665 | CA | MD | Obstetrics & Gynecology Physician |
| 2003 0502 | NM | MD | Obstetrics & Gynecology Physician |
| 122409-1 | NY | MD | Obstetrics & Gynecology Physician |
| 2003-0502 | NM | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Women'S Sonography, LLC | Past | Accepting new patients | |
| New Mexico Sonographics Inc | Maternal & Fetal Medicine | Past | Accepting new patients |
| Woman'S Healthcare Group | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Gynecology Physician
- Albuquerque, NM
- NPI 1679641963
-
- Maternal & Fetal Medicine Physician
- Albuquerque, NM
- NPI 1730259805
-
- Obstetrics & Gynecology Physician
- Niskayuna, NY
- NPI 1073505194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1659443299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2160",
"city": "CORRALES",
"state": "NM",
"postal_code": "870482160",
"telephone_number": "505-884-9687",
"fax_number": "505-884-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY BLVD NE # A",
"address_2": "SUITE 101",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091210",
"telephone_number": "505-884-9687",
"fax_number": "505-884-9688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REUSS",
"first_name": "MARY",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NM",
"license": "2003 0502",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G33665",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "122409-1",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NM",
"license": "2003-0502",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN HEALTH PLAN",
"identifier": "P-12036477",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "900117328-006",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NO.",
"identifier": "009L79",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE HEALTH PLAN",
"identifier": "900117328 87109 A001",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO NEW MEXICO BCBS",
"identifier": "00NM009L79",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53157532",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.