Russell Robert Reeves

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2025-1037 Issued in NM

Practice address

117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267

Phone

(575) 472-4311

Fax

(877) 651-0289

NPI assigned

May 12, 2022

Last updated

Sep 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Family Practice

Education

University of Vermont College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guadalupe CountyGroup PAC ID 9335118918, 17 clinicians

Sunrise ClinicsGroup PAC ID 6800226374, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guadalupe County Hospital Hospital, Santa Rosa, NM, CCN 320779

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: russell.reeves.1@8233.direct.athenahealth.com

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.

• Guadalupe County

  dba Guadalupe County Hospital

  • Emergency Care Clinic/Center
  • Santa Rosa, NM
  • NPI 1346249968
  Medicare reassignment Care Compare group NPD
• Sunrise Clinics

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, NM
  • NPI 1164055927

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Guadalupe County

  dba Guadalupe County Ambulance Service

  • Land Ambulance
  • Santa Rosa, NM
  • NPI 1063227494
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guadalupe County

  dba Guadalupe County Hospital

  • Emergency Care Clinic/Center
  • Santa Rosa, NM
  • NPI 1346249968

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1871230706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267",
            "telephone_number": "575-472-4311",
            "fax_number": "877-651-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267",
            "telephone_number": "575-472-4311",
            "fax_number": "877-651-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "RUSSELL",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2025-1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.sanchez@sunrisenm.org",
            "affiliation": "Y",
            "endpointDescription": "Credentialing",
            "affiliationName": "Sunrise Clinics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "117 Camino De Vida Ste 300",
            "city": "Santa Rosa",
            "state": "NM",
            "country_code": "US",
            "postal_code": "884352267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmen D Padilla
• Grace S Pedrick
• Daniel Edward Phillips
• David Alexander Phillips, MD
• Antje Postl, RN, CFNP
• Adriana D. Romero, JCC OFFICER
• Danielle Franchesca Romero, CSW
• Erica Nicole Romero, LCSW
• Jasmin D Romero, BMS
• Kristin Romero

• Family Medicine Physician in Santa Rosa, NM
• Providers in Santa Rosa, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.