Individual provider Active NPI

Anita Carmen Reta, MD

  • Family Medicine Physician
  • Anthony, NM
National Provider Identifier
1174809586
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125078663 Issued in IL
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

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 AllianceGroup PAC ID 4880680289, 18 clinicians
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

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 Hospital, Bismarck, ND, CCN 350015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LT23248NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Bismarck CurrentSince Nov 18, 2025 Accepting new patients
Hamdard Health Alliance CurrentSince Mar 8, 2025 Accepting new patients
Hamdard Health Alliance CurrentSince Mar 8, 2025 Accepting new patients
Sanford Bismarck Family Medicine CurrentSince Nov 18, 2025 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

  • Direct secure messaging: 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.

View all 15

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

Verify at the official NPI Registry.