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

Dr. Stanislav Nickolaevich Tolkachjov, MD

Individual provider Dermatology Physician · NPI 1952662868

Dr. Stanislav Nickolaevich Tolkachjov, MD is a Dermatology in Lewisville, Texas. Graduated from University of Tennessee, Hsc, College of Medicine in 2012, 14 years ago. Practices with Epiphany Dermatology PA, a 107-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TX
In the registry since
2012
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

1640 Fm 544 Ste 100
Lewisville, TX 75056-7013
Phone: (972) 395-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence R9876 (TX)

Record details

NPI number1952662868
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2012
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Epiphany Dermatology Pa — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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