Michele M Chetham, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

31736 Issued in CO

Practice address

180 E Hampden Ave
Englewood, CO 80113-2506

Phone

(303) 789-4968

Fax

(303) 789-6018

NPI assigned

Nov 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michele.chetham.1@9345.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.

• Bella Natural Womens Care

  dba Bella Health & Wellness

  • Obstetrics & Gynecology Physician
  • Englewood, CO
  • NPI 1316354095

  Pediatrics

  Medicare reassignment NPD
• Bella Natural Womens Care

  dba Bella Health and Wellness

  • Obstetrics & Gynecology Physician
  • Denver, CO
  • NPI 1760099766
  NPD

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1073596524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132506",
            "telephone_number": "303-789-4968",
            "fax_number": "303-789-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132506",
            "telephone_number": "303-789-4968",
            "fax_number": "303-789-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETHAM",
        "first_name": "MICHELE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "CO",
            "license": "31736",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "31736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01317361",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122626600",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "007828",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherry Hills Healthcare, Inc. (Englewood Post Acute and Rehabilitation)
• Cherry Hills Healthcare, Inc. (Englewood Post Acute and Rehabilitation)
• Cherry Hills Recovery
• Cherry Hills Recovery
• Cherry Hills Recovery
• Elise Chevalier, OT
• Anne A Chew, LAC, DOM, MA
• Judy Kay Chiang, MD
• Susan Boackle Childress, MD
• Childwise Trauma Recovery LLC

• Pediatrics Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.