MR. CHETAN KRISHNA GAIROLA D.O.
NPI 1164866182
Family Medicine in Victorville, CA

Q: What is Chetan Gairola's NPI number?

The NPI number for Chetan Gairola is 1164866182. It was assigned to this individual provider in the NPPES registry on April 21, 2013.

Q: What is Chetan Gairola's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Chetan Gairola was last updated on December 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 21, 2013PECOS EnrolledAccepts Medicare Assignment

14011 PARK AVE, VICTORVILLE, CA 92392(888) 750-0036(860) 533-6571 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2021, Sep 12, 2018 (2 updates tracked since 2018).

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About Mr. Chetan Krishna Gairola D.o. NPPES

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

MR. CHETAN KRISHNA GAIROLA D.O. (NPI 1164866182) is an individual family medicine provider in Victorville, California, licensed in California (20A-14483) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164866182

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. CHETAN KRISHNA GAIROLACredential: D.O.

Location Address14011 PARK AVEVictorville, CA 92392-2413

Mailing Address393 E Walnut StPasadena, CA 91188-0001 · (860) 533-6559 · Fax (860) 533-6571

Phone(888) 750-0036

Fax(860) 533-6571

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 21, 2013

Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration

✔ NPI 1164866182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A-14483

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

14011 PARK AVE, Victorville, CA 92392

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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 and accepts Medicare assignment

Mr. Chetan Krishna Gairola D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072839562

PECOS Enrollment IDI20160926002028

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 92392 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

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 20

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

GEORGE ELIAS TANNOUZ PHARMD

Pharmacist