Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

Active since May 27, 2006
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: July 26, 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
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

Other Identifiers 1

Medicaid38893100WI

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

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

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.

Dentist
10033 N PORT WASHINGTON RD
MEQUON, WI 53092
Chiropractor
10033 N PORT WASHINGTON RD, SUITE 100
MEQUON, WI 53092

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.

When was this NPI record last updated?

The NPPES record for Hutan Ghojallu was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.