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

Individual provider Plastic Surgery Physician · NPI 1063123016

Dr. Dani Kruchevsky, MD is a Plastic and Reconstructive Surgery in Memphis, Tennessee. Qualified in 2009, 17 years ago. Practices with UT Medical Group Inc, a 95-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Tennessee.

Years since qualifying
17
Licensed in
PA, TN
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1068 Cresthaven Rd Ste 500
Memphis, TN 38119-0846
Phone: (901) 866-8525
Fax: (901) 302-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 262 Danny Thomas Pl, Memphis, TN 38105-3678 — (888) 226-4343

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 68111 (TN)
Plastic Surgery Physician Taxonomy 208200000X · Licence 68111 (TN)
Surgery Physician Taxonomy 208600000X · Licence 478246 (PA)

Record details

NPI number1063123016
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 12, 2022
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ut Medical Group Inc — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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