Active NPI
Rebecca Chettri
- Diagnostic Radiology Physician
- Broomfield, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 64751
- Practice address
- 355 Eldorado Blvd Unit 341
Broomfield, CO 80021-3689 - Phone
- (612) 900-8718
- NPI assigned
- May 1, 2016
- Last updated
- Aug 22, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 28124 | NV | |
| Diagnostic Radiology Physician | 2085R0202X | 64751 | TN | Primary |
Addresses
Primary practice location
355 Eldorado Blvd Unit 341
Broomfield, CO 80021-3689
Mailing address
355 Eldorado Blvd Unit 341
Broomfield, CO 80021-3689
Phone (612) 900-8718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q072768 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, MD, NV, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Erie, CO 80516
Phone (931) 381-1111
106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000
1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4000
2042 Lodgepole Dr
Erie, CO 80516-4038
Phone (302) 428-6433
5421 Main St
Suite C
Spring Hill, TN 37174-4410
Phone (931) 486-3425
Hospital & facility affiliations
- Renown Regional Medical Center
- Maury Regional Hospital
- Renown South Meadows Medical Center
- Union Hospital of Cecil County
- Marshall Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.28 of 100
- Quality
- 75.62
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28124 | NV | MD | Diagnostic Radiology Physician |
| 64751 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Union Hospital of Cecil County | Current | Accepting new patients | |
| Vista Radiology, PC. | Diagnostic Radiology | Current | Accepting new patients |
| Southern Radiology Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Precision Diagnostic Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Open MRI & Imaging Center of Elkton,LLC | Diagnostic Radiology | Current | Accepting new patients |
| Union Hospital of Cecil County | Diagnostic Radiology | Current | Accepting new patients |
| Community Care Services LLC | Current | Accepting new patients | |
| Community Care Services LLC | Current | Accepting new patients | |
| Spring Hill Imaging Center LLC | Past | Accepting new patients |
Locations
4000 Nexus Dr
Ste E3
Wilmington, DE 19803
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860
1155 Mill St
Reno, NV 89502
Phone (775) 982-7878
5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334
701 E Cathedral Rd
Ste 11
Philadelphia, PA 19128
Phone (267) 766-6321
4709 Papermill Dr
Ste 201
Knoxville, TN 37909
Dept 888302
Knoxville, TN 37995
Organizations & group practices 10
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.
-
dba Community Care Services
- Internal Medicine Physician
- Reno, NV
- NPI 1720031768
-
- Radiology Clinic/Center
- Spring Hill, TN
- NPI 1073692158
-
dba Renown Radiology
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1053272989
CO
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1558053181
CO
-
dba Renown Health Medical Group
- Family Medicine Physician
- Fernley, NV
- NPI 1952872582
-
- Radiology Clinic/Center
- Elkton, MD
- NPI 1598702870
Diagnostic Radiology
-
- Radiology Clinic/Center
- Elkton, MD
- NPI 1609961390
Diagnostic Radiology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lewis Ambulatory Care Center
- Clinic/Center
- Hohenwald, TN
- NPI 1023038122
Hospital
-
dba Maury Regional Medical Center
- General Acute Care Hospital
- Columbia, TN
- NPI 1861479545
-
dba Marshall Medical Center
- Critical Access Hospital
- Lewisburg, TN
- NPI 1578591756
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- General Acute Care Hospital
- Reno, NV
- NPI 1720058027
-
- General Acute Care Hospital
- Elkton, MD
- NPI 1376523357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1457706160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 ELDORADO BLVD UNIT 341",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800213689",
"telephone_number": "612-900-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 ELDORADO BLVD UNIT 341",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800213689",
"telephone_number": "612-900-8718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHETTRI",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-01",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NV",
"license": "28124",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "64751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q072768",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
- Lexi Raye Chavez
- James Cheang, PHARM. D
- James L. Cheng, DMD
- Amber Cherrette
- Nathaniel Chertok, DDS
- Children Matter LLC (Home Health Matters)
- Children Matter LLC
- Children Matter, LLC
- Children's Hospital Colorado (Children's Colorado Outpatient Pharmacy at North Campus)
- Children's Hospital Colorado (Children's Hospital Colorado - North Campus Dental Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.