Individual provider Active NPI

Mary Lynne Reuss, M.D.

  • Obstetrics & Gynecology Physician
  • Albuquerque, NM
National Provider Identifier
1659443299
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
122409-1 Issued in NY
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P-12036477OtherNMMULTIPLAN HEALTH PLAN
900117328-006OtherNMCIGNA HEALTH PLAN
009L79OtherNMBCBS PROVIDER NO.
900117328 87109 A001OtherNMTRICARE HEALTH PLAN
00NM009L79OtherNMHMO NEW MEXICO BCBS
53157532MedicaidNM

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

LicenseStateTypeSpecialty
G33665CAMDObstetrics & Gynecology Physician
2003 0502NMMDObstetrics & Gynecology Physician
122409-1NYMDObstetrics & Gynecology Physician
2003-0502NMMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Women'S Sonography, LLC PastSince Jan 1, 2004 Accepting new patients
New Mexico Sonographics Inc Maternal & Fetal Medicine PastSince May 19, 2020 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.

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.

Verify at the official NPI Registry.