Individual provider Active NPI

Rebecca Chettri

  • Diagnostic Radiology Physician
  • Broomfield, CO
National Provider Identifier
1457706160
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
64751 Issued in TN
Practice address
355 Eldorado Blvd Unit 341
Broomfield, CO 80021-3689
Phone
(612) 900-8718
NPI assigned
May 1, 2016
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q072768MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MD, NV, TN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20220224001725 CO Practitioner - Diagnostic Radiology 2062701436 Reassigns benefits to 5 organizations
I20250320004028 MD Practitioner - Diagnostic Radiology 2062701436 Reassigns benefits to 1 organization
I20250909000245 NV Practitioner - Diagnostic Radiology 2062701436 Reassigns benefits to 1 organization
I20260616002181 TN Practitioner - Diagnostic Radiology 2062701436 Reassigns benefits to 1 organization

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
Southern Radiology Associates PLLCGroup PAC ID 7214913649, 41 clinicians
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians
Spring Hill Imaging Center, LLCGroup PAC ID 3577666536, 16 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
75.62
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28124NVMDDiagnostic Radiology Physician
64751TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Union Hospital of Cecil County CurrentSince Mar 1, 2025 Accepting new patients
Vista Radiology, PC. Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Southern Radiology Associates, PLLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Precision Diagnostic Radiology LLC Diagnostic Radiology CurrentSince May 17, 2025 Accepting new patients
Open MRI & Imaging Center of Elkton,LLC Diagnostic Radiology CurrentSince Mar 3, 2025 Accepting new patients
Union Hospital of Cecil County Diagnostic Radiology CurrentSince Mar 3, 2025 Accepting new patients
Community Care Services LLC Current Accepting new patients
Community Care Services LLC CurrentSince Aug 1, 2025 Accepting new patients
Spring Hill Imaging Center LLC PastSince Sep 5, 2006 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.

Hospital & facility affiliations 7

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": "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

Sources for this page

Verify at the official NPI Registry.