Krupa Mathew Chackalackal, RD
NPI 1154993533ActiveIndividual· Dietitian, Registered· Avondale, AZ
Dietitian, Registered (RD) with Am Nutrition Services, practicing in Avondale, Arizona. Medicare paid $2,961 for services to 12 patients in 2024.
Overview
| NPI | 1154993533 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Jul 14, 2021 |
| Last updated in NPPES | Jul 14, 2021 |
| Certified by provider | Jul 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 86289513 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (AZ); Practitioner - Registered Dietitian Or Nutrition Professional (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 112 across 3 procedure codes |
| Paid by Medicare | $2,961 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Am Nutrition ServicesGlendale, AZ · 47 clinicians
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