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KRUPA MATHEW CHACKALACKAL RD
NPI 1154993533
Dietitian, Registered in Avondale, AZ

Active since July 14, 2021Accepts Medicare Assignment
10750 W MCDOWELL RD STE A300, AVONDALE, AZ 85392(623) 399-6825(623) 505-3474 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Krupa Mathew Chackalackal Rd NPPES

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

KRUPA MATHEW CHACKALACKAL RD (NPI 1154993533) is an individual dietitian, registered in Avondale, Arizona, licensed in Arizona (86289513) and active in the NPI registry since July 2021. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1154993533
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKRUPA MATHEW CHACKALACKALCredential: RD
Location Address10750 W MCDOWELL RD STE A300Avondale, AZ 85392-5963
Mailing Address18001 N 79th Ave Ste A12Glendale, AZ 85308-8398 · (623) 399-6825 · Fax (623) 505-3474
Phone(623) 399-6825
Fax(623) 505-3474
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
✔ NPI 1154993533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in AZ · 86289513
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
10750 W MCDOWELL RD STE A300, Avondale, AZ 85392
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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

Krupa Mathew Chackalackal Rd 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 ID1456754746
PECOS Enrollment IDI20210723002201

Medicare Billing Reassignments

2

Medicare enrollment records show Krupa Chackalackal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Am Nutrition Services
13 mi
Dietitian, Registered
18001 N 79TH AVE STE A12
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
  • 54 clinicians in this Medicare group
NPI 1003011602 (623) 399-6825
Amns Oregon, LLC
995 mi
Dietitian, Registered
205 SE SPOKANE ST STE 300
Portland, OR 97202
  • Reassigned Medicare billing, Oregon enrollment
  • 5 clinicians in this Medicare group
NPI 1619867835 (503) 388-4255

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85392 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
$0.00 typical visit price
range $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 10

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

HALEY MOLLHAGEN RD
Dietitian, Registered
10750 W MCDOWELL RD STE A300
AVONDALE, AZ 85392
Maricopa County (623) 399-6825
DIANA MROZEK RDN
Dietitian, Registered
10750 W MCDOWELL RD STE A300
AVONDALE, AZ 85392
Maricopa County (623) 399-6825
HANNAH LACEY RD
Dietitian, Registered
10750 W MCDOWELL RD STE A300
AVONDALE, AZ 85392
Maricopa County (623) 399-6825
COURTNEY A STANCZAK RD
Dietitian, Registered
10750 W MCDOWELL RD STE A300
AVONDALE, AZ 85392
Maricopa County (623) 399-6825
CARINA LIDDICOAT RD
Dietitian, Registered
10750 W MCDOWELL RD STE A300
AVONDALE, AZ 85392
Maricopa County (623) 399-6825
SARA WOODS RD
Dietitian, Registered
10750 W MCDOWELL RD STE A300
AVONDALE, AZ 85392
Maricopa County (623) 399-6825
DIANE GARDNER RDN
Dietitian, Registered
10750 W MCDOWELL RD STE A300
AVONDALE, AZ 85392
Maricopa County (623) 399-6825
KELLY ANN MCCORMICK RD
Dietitian, Registered
10750 W MCDOWELL RD STE A300
AVONDALE, AZ 85392
Maricopa County (623) 399-6825

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 Krupa Chackalackal's NPI number?

The NPI number for Krupa Chackalackal is 1154993533. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Krupa Chackalackal located?

Krupa Chackalackal practices at 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392. The listed phone number is (623) 399-6825.

What is Krupa Chackalackal's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Krupa Chackalackal enrolled in Medicare?

Yes. Krupa Chackalackal 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 organizations bill Medicare for Krupa Chackalackal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krupa Chackalackal reassigns Medicare benefits to 2 organizations: Am Nutrition Services (Glendale, AZ) and Amns Oregon, LLC (Portland, OR). Each 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 Krupa Chackalackal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krupa Chackalackal accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, BridgeSpan Health Company and Imperial Insurance Companies, Inc. and 2 other insurers list Krupa Chackalackal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krupa Chackalackal was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.