1. Home
  2. Directory
  3. Wisconsin
  4. Mequon
  5. Chiropractor
  6. NPI Profile

DR. HUTAN GHOJALLU D.C.
NPI 1841247715
Chiropractor in Mequon, WI

Active since May 27, 2006Accepts Medicare Assignment
10033 N PORT WASHINGTON RD, MEQUON, WI 53092(262) 240-0136(262) 240-0139 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Hutan Ghojallu D.c. NPPES

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

DR. HUTAN GHOJALLU D.C. (NPI 1841247715) is an individual chiropractor in Mequon, Wisconsin, licensed in Wisconsin (3228) and active in the NPI registry since May 2006. He is a graduate of Palmer College Chiropractic - Davenport (1994).

NPPES Registry Identity

NPI1841247715
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. HUTAN GHOJALLUCredential: D.C.
Location Address10033 N PORT WASHINGTON RDMequon, WI 53092-5799
Mailing Address10033 N Port Washington RdMequon, WI 53092-5799 · (262) 240-0136 · Fax (262) 240-0139
Phone(262) 240-0136
Fax(262) 240-0139
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1994
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1841247715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 3228
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
10033 N PORT WASHINGTON RD, Mequon, WI 53092
Open in Google Maps ↗

Other Identifiers 1

Medicaid38893100WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hutan Ghojallu D.c. 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 ID6204836885
PECOS Enrollment IDI20070104000343

Medicare Billing Reassignment

Medicare enrollment records show Hutan Ghojallu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Balance Chiropractic Center, LLC
0.3 mi
Chiropractor
10033 N PORT WASHINGTON RD, SUITE 100
Mequon, WI 53092
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1427159805 (262) 240-0136

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

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL I KIM D.D.S.
Dentist
10033 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 241-5558
BALANCE CHIROPRACTIC CENTER, LLC
Chiropractor
10033 N PORT WASHINGTON RD, SUITE 100
MEQUON, WI 53092
Ozaukee County (262) 240-0136

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 Hutan Ghojallu's NPI number?

The NPI number for Hutan Ghojallu is 1841247715. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Hutan Ghojallu located?

Hutan Ghojallu practices at 10033 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 240-0136.

What is Hutan Ghojallu's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Hutan Ghojallu enrolled in Medicare?

Yes. Hutan Ghojallu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Hutan Ghojallu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hutan Ghojallu reassigns Medicare benefits to Balance Chiropractic Center, LLC (Mequon, WI). 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 Hutan Ghojallu'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 Hutan Ghojallu was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.