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

Dr. Stefanos Boukovalas, MD

Individual provider Plastic Surgery Physician · NPI 1235485137

Dr. Stefanos Boukovalas, MD is a Plastic and Reconstructive Surgery in Knoxville, Tennessee. Qualified in 2012, 14 years ago. Practices with University Health System, Inc, a 529-clinician group and accepts Medicare assignment. Licensed in Pennsylvania, Tennessee and Texas.

Years since qualifying
14
Licensed in
PA, TN, TX
In the registry since
2012
Specialties on file
4
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

1934 Alcoa Hwy Ste D362
Knoxville, TN 37920-1524
Phone: (865) 305-4670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 62868 (TN)
Plastic Surgery Physician Taxonomy 208200000X · Licence BP20066599 (TX)
Plastic Surgery Physician Taxonomy 208200000X · Licence BP10052157 (TX)
Surgery Physician Taxonomy 208600000X · Licence MT202718 (PA)

Record details

NPI number1235485137
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 28, 2012
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Health System, Inc. — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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