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

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: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2026, Mar 27, 2025, May 29, 2020 (3 updates tracked since 2020).

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 UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 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
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

The NPPES record for Diego Cebrian Chaustre was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.