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DR. BASIL HARRIS CHABALLOUT MD
NPI 1154176402
Student in an Organized Health Care Education/Training Program in Hemet, CA

Active since April 20, 2024PECOS Enrolled
1117 E DEVONSHIRE AVE, HEMET, CA 92543(951) 652-2811 Get Directions Write a Review

NPPES record last updated: April 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Basil Harris Chaballout Md NPPES

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

DR. BASIL HARRIS CHABALLOUT MD (NPI 1154176402) is an individual student in an organized health care education/training program in Hemet, California and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154176402
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BASIL HARRIS CHABALLOUTCredential: MD
Location Address1117 E DEVONSHIRE AVEHemet, CA 92543-3083
Mailing Address1117 E Devonshire AveHemet, CA 92543-3083
Phone(951) 652-2811
Sole ProprietorNo
Enumeration DateApril 20, 2024
NPPES CertifiedApril 20, 2024
✔ NPI 1154176402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1117 E DEVONSHIRE AVE, Hemet, CA 92543
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Basil Harris Chaballout Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

DR. SYEDA QURRAT-UL-AIN KAIFEE DO
Student in an Organized Health Care Education/Training Program
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 652-2811
CHINELO ANAKOR MD
Student in an Organized Health Care Education/Training Program
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 652-2811
CATHERINE FERGUSON SIMS M.D
Anesthesiology
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 929-6290
SAAD FAROOQ D.O.
Radiology (Diagnostic Radiology)
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 765-4910
DR. JARED MOLITORIS MD
Student in an Organized Health Care Education/Training Program
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 652-2811
VALLEY PATHOLOGY MEDICAL GROUP
Clinical Medical Laboratory
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 652-2811
GRANLEE NGUYEN MD
Student in an Organized Health Care Education/Training Program
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 652-2811
DR. ANDREW MARC HARRISON MD, PHD
Student in an Organized Health Care Education/Training Program
1117 E DEVONSHIRE AVE
HEMET, CA 92543
Riverside County (951) 652-2811

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 Basil Chaballout's NPI number?

The NPI number for Basil Chaballout is 1154176402. It was assigned to this individual provider in the NPPES registry on April 20, 2024.

Where is Basil Chaballout located?

Basil Chaballout practices at 1117 E Devonshire Ave, Hemet, CA 92543. The listed phone number is (951) 652-2811.

What is Basil Chaballout's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Basil Chaballout enrolled in Medicare?

Yes. Basil Chaballout is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Basil Chaballout was last updated on April 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.