Christopher Ryan Pettis, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

DR.0060386 Issued in CO

Practice address

1746 Cole Blvd Ste 150
Lakewood, CO 80401

Phone

(303) 914-8800

Fax

(303) 716-3777

NPI assigned

Apr 1, 2006

Last updated

Jul 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, CO, NC, AZ, KY5 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 5

Specialty

Diagnostic Radiology

Education

University of Arizona College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diversified Radiology of Colorado IncGroup PAC ID 0143132316, 92 clinicians

Radiology LTD LLCGroup PAC ID 6204727589, 107 clinicians

Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians

Florida Radiology Imaging at Lake Mary LLCGroup PAC ID 1254311137, 273 clinicians

Charlotte Radiology PAGroup PAC ID 4587577390, 222 clinicians

Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians

Norton Clark Physician Practices LLCGroup PAC ID 0840504114, 49 clinicians

Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
• Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026
• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 27)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: cpettis1022660@adventhealth.direct-ci.com
• Direct secure messaging: cpettis548779@direct.centracare.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Diversified Radiology of Colorado, Inc

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1205923596
  Medicare reassignment Care Compare group NPD
• Orthopedic Centers of Colorado, LLC

  dba Perioperative Medicine Care Center

  • Orthopaedic Surgery Physician
  • Denver, CO
  • NPI 1801339502
  Medicare reassignment Care Compare group NPD
• Charlotte Radiology P a

  • Specialist
  • Charlotte, NC
  • NPI 1649220443

  CO

  Medicare reassignment Care Compare group NPD
• Florida Radiology Imaging at Lake Mary, LLC

  dba AdventHealth Imaging

  • Diagnostic Radiology Physician
  • Lake Mary, FL
  • NPI 1740256494

  CO

  Medicare reassignment Care Compare group NPD
• Musc Community Physicians

  dba MUSC Community Physicians Specialty

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006

  CO, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Norton Clark Physician Practices, LLC

  • Internal Medicine Physician
  • Clarksville, IN
  • NPI 1083098651

  CO

  Medicare reassignment Care Compare group NPD
• Radiology LTD., LLC

  dba Radiology Ltd.

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1841261989

  CO

  Medicare reassignment Care Compare group NPD
• Florida Hospital Medical Group Inc

  dba AdventHealth Medical Group Radiology

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1073785044

  CO, KY

  Medicare reassignment Care Compare group
• Spectrum Medical Imaging, LLC

  • Radiology Clinic/Center
  • Brighton, CO
  • NPI 1164881652

  Diagnostic Radiology

  Medicare reassignment NPD
• Vail Clinic, Inc.

  dba Vail Health Hospital

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  Medicare reassignment NPD
• Blue Ridge Healthcare Medical Group Inc

  dba BRHC Radiology Practice

  • Diagnostic Radiology Physician
  • Morganton, NC
  • NPI 1639244478

  CO

  Medicare reassignment NPD
• Blue Ridge Healthcare Medical Group, Inc.

  dba Women's Health Group-Valdese

  • Obstetrics & Gynecology Physician
  • Connelly Springs, NC
  • NPI 1467993931
  Medicare reassignment NPD

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

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Florida Hospital Waterman Inc

  dba AdventHealth Waterman

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Columbia Medical Center Northeast

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1285200105
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Columbia Medical Center Downtown

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1558937474
  Care Compare affiliation
• Medical University Hospital Authority

  • Urgent Care Clinic/Center
  • Columbia, SC
  • NPI 1578402764

  Hospital

  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Fairfield Emergency and Imaging Center

  • Clinic/Center
  • Winnsboro, SC
  • NPI 1811563737

  Hospital

  Care Compare affiliation
• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823
  Care Compare affiliation
• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178

  Hospital

  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1851352371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013267",
            "telephone_number": "303-914-8800",
            "fax_number": "303-716-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-914-8800",
            "fax_number": "303-716-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME105918",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0116017273",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0060386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002429100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle D Petitjean, CRNA
• Maria Petroulakis
• Raya Petrov, D.D.S.
• Zoya Natasha Petrovska
• Bryan Michael Petti, D.O.
• Jillian Pezzino, LPCC
• Pfa Counseling & Assessment
• Kiandra Mercedes Pfaffl, RBT
• Joshua James Pfeiffer
• Alyssa Rose Pfluger

• Diagnostic Radiology Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Diagnostic Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.

Verify at the official NPI Registry.