Individual provider Active NPI

Mancho Manev Chakalov, DO

  • Anesthesiology Physician
  • South Miami, FL
National Provider Identifier
1942866637
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS20097 Issued in FL
Practice address
7000 SW 62ND Ave Ste 600
South Miami, FL 33143-4728
Phone
(305) 284-7577
Fax
(305) 284-7688
NPI assigned
May 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS20097 FL Primary

Addresses

Primary practice location

7000 SW 62ND Ave Ste 600
South Miami, FL 33143-4728

Mailing address

5996 SW 70TH St FL 5
South Miami, FL 33143-3540
Phone (305) 284-7577

Other practice location 1

1435 W 49th Pl Ste 402
Hialeah, FL 33012-3147
Phone (305) 907-8526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905001528 FL Practitioner - Anesthesiology 7517320807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Anesthesia Group One PLLCGroup PAC ID 1052653276, 22 clinicians

Practice addresses (Care Compare)

1100 NW 95 St
Miami, FL 33150-2038
Phone 50391429091056

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS20097FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Miami Anesthesia Services, PA CurrentSince Mar 1, 2024 Accepting new patients

Locations

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1942866637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5996 SW 70TH ST FL 5",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433540",
            "telephone_number": "305-284-7577",
            "fax_number": "305-284-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE STE 600",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434728",
            "telephone_number": "305-284-7577",
            "fax_number": "305-284-7688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 W 49th Pl Ste 402",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123147",
            "country_code": "US",
            "telephone_number": "305-907-8526",
            "fax_number": "305-907-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKALOV",
        "first_name": "MANCHO",
        "middle_name": "MANEV",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS20097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.