DR. DANI KRUCHEVSKY (MD) – Plastic and Reconstructive Surgery Physician, NPI 1063123016

DR. DANI KRUCHEVSKY (MD) is a healthcare provider. based in Memphis, Tennessee. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 68111 (TN). The NPI Number for DR. DANI KRUCHEVSKY (MD) is 1063123016

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANI KRUCHEVSKY (MD)
NPI
1063123016
Phone
(888) 226-4343
Address
262 Danny Thomas Pl
Enumeration Date
12 December 2022
Last Update Date
26 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9018668805
Graduation Year
2009 (17 years ago)
PAC ID
9234585076
Group Practice PAC ID
3173435369
Professional Enrollment ID
I20231030003573
Address ID
TN381190846ME1068XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:3State licenses:2Digital endpointsOther names

142 PLASTIC AND RECONSTRUCTIVE SURGERY in TN

Provider Addresses for DR. DANI KRUCHEVSKY (MD)

  • 262 Danny Thomas Pl

    Memphis, TN 381053678

    Phone: (888) 226-4343

    Type: Location

  • 1068 CRESTHAVEN RD STE 300

    MEMPHIS, TN 381190809

    Phone: (901) 866-8864

    Type: Mailing

  • 1068 CRESTHAVEN RD STE 500

    MEMPHIS, TN 381190846

    Phone: (901) 866-8525

    Fax: (901) 302-2525

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $1,102.

Total Amount is formed as General ($1,102) + Research ($0) + Ownership ($0) = $1,102.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Kerecis Limited ($296).

Total Amount

$1,102

General + Research + Ownership

Payments

24

Total payment records

General Amount

$1,102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231030003573IPlastic And Reconstructive SurgeryTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173435369View full group profile
NameSpecialtyState
Family PracticeTN
O P H T H A L M O L O G YVA
Nephrology, Internal MedicineTN
-AR
Hematology/Oncology, Internal MedicineTN
O P H T H A L M O L O G YTN
Nurse PractitionerMS
-TN
-NY
-TN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. DANI KRUCHEVSKY (MD)'s NPI?
Yes. DR. DANI KRUCHEVSKY (MD) is listed with NPI 1063123016 in the public NPI dataset.
Is DR. DANI KRUCHEVSKY (MD) still practicing?
DR. DANI KRUCHEVSKY (MD) is currently listed as active in the public NPI registry.
What is DR. DANI KRUCHEVSKY (MD)'s specialty?
The listing groups DR. DANI KRUCHEVSKY (MD) with Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DANI KRUCHEVSKY (MD) based?
DR. DANI KRUCHEVSKY (MD) is tied to Memphis, Tennessee in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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