Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DIEGO J. CEBRIAN CHAUSTRE MD
NPI 1861016495
Radiology - Diagnostic Radiology in Salt Lake City, UT

Q: What is Diego Cebrian Chaustre's NPI number?

The NPI number for Diego Cebrian Chaustre is 1861016495. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Q: What is Diego Cebrian Chaustre's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since May 29, 2020PECOS Enrolled

30 N MARIO CAPECCHI RM 2S100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, Mar 27, 2026, Mar 27, 2025 and 1 more (4 updates tracked since 2020).

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About Diego J. Cebrian Chaustre Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIEGO J. CEBRIAN CHAUSTRE MD (NPI 1861016495) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (14207017-1205) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1861016495

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDIEGO J. CEBRIAN CHAUSTRECredential: MD

Location Address30 N MARIO CAPECCHI RM 2S100Salt Lake City, UT 84112

Mailing Address30 N Mario Capecchi Rm 2s100Salt Lake City, UT 84112 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 29, 2020

Last NPPES UpdateSeptember 22, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1861016495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in UT · 14207017-1205

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 14207017-1205 (UT)

30 N MARIO CAPECCHI RM 2S100, Salt Lake City, UT 84112

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Secondary Practice Location 1

Location 1130 W Kingsbridge Road, Suite 7A-11Bronx, NY 10468 · Phone (718) 584-9000 ext. 6753 · Fax (718) 741-4233

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diego J. Cebrian Chaustre Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981120441

PECOS Enrollment IDI20260520001931

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Diego Cebrian Chaustre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Adult Services

0.1 mi

Otolaryngology

50 N MEDICAL DR
Salt Lake City, UT 84132

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1003210808 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT J. ADAIR MD

Radiology (Diagnostic Radiology)

30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-2121

THOMAS RILEY MD

Radiology (Vascular & Interventional Radiology)

30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-7553

DR. DEREK WILLIAM GRADY M.D.

Radiology (Diagnostic Radiology)

30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-2121

DR. BETHANY A. LUECK MD

Radiology (Neuroradiology)

30 N MARIO CAPECCHI RM 2S100, 400 W PUEBLO STREET
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-2121

DR. JAY RILEY ARGUE MD

Radiology (Neuroradiology)

30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-2121

KALEB TODD

Radiology (Neuroradiology)

30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-7553

NADER ALAAELDIN REFAI

Radiology (Neuroradiology)

30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-7553

DARYUSH VAREDI MD

Radiology (Neuroradiology)

30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-2121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diego Cebrian Chaustre's NPI number?

The NPI number for Diego Cebrian Chaustre is 1861016495. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Where is Diego Cebrian Chaustre located?

Diego Cebrian Chaustre practices at 30 N Mario Capecchi Rm 2s100, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Diego Cebrian Chaustre's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Diego Cebrian Chaustre enrolled in Medicare?

Yes. Diego Cebrian Chaustre is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Diego Cebrian Chaustre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diego Cebrian Chaustre reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diego Cebrian Chaustre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diego Cebrian Chaustre was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.