Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alvin Chackungal

Individual provider Registered Nurse · NPI 1407530447

Alvin Chackungal is a Certified Registered Nurse Anesthetist (CRNA) in Miami, Florida. Qualified in 2017, 9 years ago. Practices with University of Miami, a 2,303-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

12182 SW 122nd Ct
Miami, FL 33186-9025
Phone: (305) 967-0066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11033611 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9480539 (FL)

Record details

NPI number1407530447
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address12182 Sw 122nd Ct, Miami, FL 33186-9025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Miami — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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