Anita Jean Holtz, MD – Family Medicine Physician

Key facts

NPI: 1679679245
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: MD2004-0512 (NM)
Practice address: Cedar Street #4 San Felipe Pueblo
Box 4344
San Felipe, NM 87001-4529
Phone: (505) 867-2739
Fax: (505) 867-6527
NPI assigned: Sep 14, 2006
Sex: Female
Sole proprietor: No

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.

Santa Fe Indian Hospital Federal Public Health Clinic/Center · Santa Fe, NM · NPI 1285613836

Medicare reassignment Care Compare group NPD TX
Santa Clara Health Center General Acute Care Hospital · Espanola, NM · NPI 1043396377

NPD (past)
Santo Domingo Health Clinic General Acute Care Hospital · Santo Domingo Pueblo, NM · NPI 1376632695

NPD (past)

Hospital & facility affiliations 1

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

Ambercare Home Health Care Corporation Home Health Agency · Belen, NM · NPI 1336117621

Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty: Family Practice
Education: Washington University School of Medicine, 1990
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Santa Fe Indian Hospital (19 clinicians)

Practice addresses (Care Compare)

1700 Cerrillos Rd
Santa Fe, NM 87505-3026
Phone (505) 946-9206

Hospital & facility affiliations

Ambercare Home Health Home health agency · Belen, NM · CCN 327123

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20050331000973	TX	Practitioner - Family Practice	6901875525	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Status	New patients
Santa Fe Indian Hospital	Current since Jul 25, 2007	Accepting new patients
Santo Domingo Health Clinic	Past	Accepting new patients
Santa Clara Health Center	Past since Jan 19, 2012	Accepting new patients

Locations

400 State Road 30
Espanola, NM 87532
Phone (505) 753-8393

1700 Cerrillos Rd
Santa Fe, NM 87505
Phone (505) 946-9206

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	MD2004-0512	NM	Yes

Addresses

Primary practice location

Cedar Street #4 San Felipe Pueblo
Box 4344
San Felipe, NM 87001-4529

Mailing address

1700 Cerrillos Rd
Santa Fe, NM 87505-3554
Phone (505) 988-9821

Other providers in San Felipe, NM

All providers in San Felipe, NM · Family Medicine Physician in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.