Active NPI
Anita Carmen Reta, MD
- Family Medicine Physician
- Anthony, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125078663
- Practice address
- 855 Anthony Dr
Anthony, NM 88021-9325 - Phone
- (575) 201-5135
- Fax
- (575) 449-4052
- NPI assigned
- Oct 30, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125078663 | IL | Primary |
| Family Medicine Physician | 207Q00000X | MD2026-0645 | NM | |
| Family Medicine Physician | 207Q00000X | LT23248 | ND |
Addresses
Primary practice location
855 Anthony Dr
Anthony, NM 88021-9325
Mailing address
385 Calle de Alegra BLDG a
Las Cruces, NM 88005-3423
Phone (575) 526-1105
Other practice location 1
1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250520004483 | IL | Practitioner - Family Practice | 6305242231 | Reassigns benefits to 1 organization |
| I20251204004455 | ND | Practitioner - Family Practice | 6305242231 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hamdard Health AllianceSanford Bismarck
Practice addresses (Care Compare)
228 E Lake St
Addison, IL 60101-2889
Phone (630) 835-1430
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
565 S 7TH St
Bismarck, ND 58504-5859
Phone (701) 323-5550
Hospital & facility affiliations
- Sanford Medical Center Bismarck
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT23248 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current | Accepting new patients | |
| Hamdard Health Alliance | Current | Accepting new patients | |
| Hamdard Health Alliance | Current | Accepting new patients | |
| Sanford Bismarck | Family Medicine | Current | Accepting new patients |
| Sanford Clinic | Family Medicine | Past | Accepting new patients |
Locations
228 E Lake St
Addison, IL 60101
Phone (630) 835-1430
1542 W Devon Ave
Chicago, IL 60660
Phone (773) 465-4600
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
565 S 7th St
Bismarck, ND 58504
Phone (701) 323-5550
Interoperability endpoints
- areta115334@uihealth.direct-ci.com
Organizations & group practices 15
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.
-
- Federally Qualified Health Center (FQHC)
- Bensenville, IL
- NPI 1700470580
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356772834
-
- Clinical Medical Laboratory
- Bismarck, ND
- NPI 1154485944
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fort Yates, ND
- NPI 1396828547
-
- Community Based Hospice Care Agency
- Mandan, ND
- NPI 1477631745
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1538245634
-
- Ambulatory Surgical Clinic/Center
- Dickinson, ND
- NPI 1598185597
-
- Home Health Agency
- Mandan, ND
- NPI 1669555744
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bismarck, ND
- NPI 1700962818
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jamestown, ND
- NPI 1720161953
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1174809586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 CALLE DE ALEGRA BLDG A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053423",
"telephone_number": "575-526-1105",
"fax_number": "575-524-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 ANTHONY DR",
"city": "ANTHONY",
"state": "NM",
"postal_code": "880219325",
"telephone_number": "575-201-5135",
"fax_number": "575-449-4052"
}
],
"practiceLocations": [
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "866-600-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RETA",
"first_name": "ANITA",
"middle_name": "CARMEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-30",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125078663",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2026-0645",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "LT23248",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anthony, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.