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

NPI Status: Active since December 12, 2022

Contact Information

1068 CRESTHAVEN RD STE 500
MEMPHIS, TN
ZIP 38119
Phone: (901) 866-8525
Fax: (901) 302-2525

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  • Individual
  • Male
  • Surgery
  • Plastic and Reconstructive Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DANI KRUCHEVSKY

This page provides the complete NPI Profile along with additional information for Dani Kruchevsky, a provider established in Memphis, Tennessee with a medical specialization in Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1063123016 assigned on December 2022. The practitioner's primary taxonomy code is 2086S0122X with license number 68111 (TN). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1063123016
Provider Name
DR. DANI KRUCHEVSKY MD
Gender
Male
Entity Type
Individual
Location Address
1068 CRESTHAVEN RD STE 500 MEMPHIS, TN 38119
Location Phone
(901) 866-8525
Location Fax
(901) 302-2525
Mailing Address
1068 CRESTHAVEN RD STE 300 MEMPHIS, TN 38119
Mailing Phone
(901) 866-8864
Is Sole Proprietor?
No
Enumeration Date
12-12-2022
Last Update Date
03-26-2025
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Location Map

Secondary Locations

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

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
License No.
68111
License State
TN
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208200000XAllopathic & Osteopathic Physicians

Plastic Surgery

68111 (TN)
2208600000XAllopathic & Osteopathic Physicians

Surgery

478246 (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Dani Kruchevsky is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Dani Kruchevsky is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9234585076

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231030003573

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dani Kruchevsky is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
REGIONAL ONE HEALTH877 JEFFERSON AVENUE
MEMPHIS, TN 38103
(901) 545-7928Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063123016, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 2 + 2 + 6 + 0 + 2 + 24 = 44

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1063123016.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Psychiatry & Neurology (Psychiatry)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Plastic Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Internal Medicine
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Physician Assistant (Surgical)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Physician Assistant (Surgical)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Plastic Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Plastic Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Plastic Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063123016, enumerated as an "individual" on December 12, 2022.

The provider is located at 1068 CRESTHAVEN RD STE 500 MEMPHIS, TN 38119 and the phone number is (901) 866-8525.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Dani Kruchevsky is affiliated with: REGIONAL ONE HEALTH.