DR. DANI KRUCHEVSKY MD
NPI 1063123016
Surgery - Plastic and Reconstructive Surgery in Memphis, TN

Q: What is Dani Kruchevsky's NPI number?

The NPI number for Dani Kruchevsky is 1063123016. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Q: What is Dani Kruchevsky's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Dani Kruchevsky was last updated on March 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 12, 2022PECOS EnrolledAccepts Medicare Assignment

1068 CRESTHAVEN RD STE 500, MEMPHIS, TN 38119(901) 866-8525(901) 302-2525 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2025, Dec 12, 2022 (2 updates tracked since 2022).

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About Dr. Dani Kruchevsky Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANI KRUCHEVSKY MD (NPI 1063123016) is an individual plastic and reconstructive surgery provider in Memphis, Tennessee, licensed in Tennessee (68111) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, is affiliated with Regional One Health, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1063123016

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. DANI KRUCHEVSKYCredential: MD

Location Address1068 CRESTHAVEN RD STE 500Memphis, TN 38119-0846

Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809 · (901) 866-8864

Phone(901) 866-8525

Fax(901) 302-2525

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateDecember 12, 2022

Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1063123016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in TN · 68111

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License 68111 (TN)

Also ListedSurgeryTaxonomy 208600000X · License 478246 (PA)

1068 CRESTHAVEN RD STE 500, Memphis, TN 38119

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Secondary Practice Location 1

Location 1262 Danny Thomas PlMemphis, TN 38105-3678 · Phone (888) 226-4343

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dani Kruchevsky Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234585076

PECOS Enrollment IDI20231030003573

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less 15274

This procedure involves applying a skin substitute graft to a large wound on your trunk, arms, or legs. The graft, made from synthetic or natural materials, aids in healing by covering and protecting the wound. The size of the graft depends on the wound's area.

297 services13 patients

Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less 15003

This procedure involves preparing a specific area of your body (trunk, arms, or legs) for a skin graft. The area is cleaned and treated to receive new skin, usually to aid in healing from a burn or wound. The size of the area treated is up to 100.0 sq cm or 1% of a child's body area.

292 services12 patients

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002

This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.

21 services14 patients

Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15273

A skin substitute graft is a medical procedure where artificial skin is used to cover a large wound on the trunk, arms, or legs. This treatment helps promote healing and is especially useful for wounds 100.0 sq cm or more, or 1% of body area for infants and children.

19 services13 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

13 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regional One Health

Acute Care Hospitals · Memphis, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440152

Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD A LUCE MD

Surgery (Plastic and Reconstructive Surgery)