Individual provider Active NPI

Anne K. Rettig, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Lititz, PA
National Provider Identifier
1467644807
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
MD478906 Issued in PA
Practice address
51 Peters Rd Ste 200-201
Lititz, PA 17543-7685
Phone
(717) 626-2167
Fax
(717) 626-1915
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD478906 PA
Sports Medicine (Family Medicine) Physician 207QS0010X MD478906 PA Primary

Addresses

Primary practice location

51 Peters Rd Ste 200-201
Lititz, PA 17543-7685

Mailing address

51 Peters Rd Ste 200-201
Lititz, PA 17543-7685
Phone (717) 626-2167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20220929001050 PA Practitioner - Sports Medicine 7113197823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of Virginia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

51 Peters Rd
Suite 200
Lititz, PA 17543-7685
Phone (717) 627-7675

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group CurrentSince Sep 12, 2022 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 12, 2022 Accepting new patients
Northwestern Memorial Physicians Group Past Accepting new patients
Lancaster General Medical Group Family Medicine PastSince Mar 5, 2023 Accepting new patients
Lancaster General Medical Group Sports Medicine PastSince Mar 5, 2023 Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

538 N Queen St
Ste 200
Lancaster, PA 17603
Phone (717) 393-1900

51 Peters Rd
Ste 200203
Lititz, PA 17543
Phone (717) 393-1900

51 Peters Rd
Ste 200
Lititz, PA 17543
Phone (717) 626-2167

51 Peters Rd
Ste 200201
Lititz, PA 17543
Phone (717) 626-2167

Interoperability endpoints

  • Direct secure messaging: aertel227835@direct-lghealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1467644807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PETERS RD STE 200-201",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437685",
            "telephone_number": "717-626-2167",
            "fax_number": "717-626-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PETERS RD STE 200-201",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437685",
            "telephone_number": "717-626-2167",
            "fax_number": "717-626-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTIG",
        "first_name": "ANNE",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD478906",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD478906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.