Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235591371 Individual Practitioner Male Practitioner

Dr. Muntazim Mukit , MD

Plastic Surgery • Memphis, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Muntazim Mukit, MD is a certified Plastic Surgery practicing in Memphis, TN. With approximately 10 years of clinical experience since graduating from State University Of New York At Stony Brook, School Of Medicine in 2016, Dr. Mukit delivers high-quality medical care to the local community at 1068 CRESTHAVEN RD STE 500.

Dr. Mukit is affiliated with Ut Medical Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1068 Cresthaven Rd Ste 500

Memphis, TN 381190846

Telephone 9018668525
Fax 9013022525
Associated Practice Facility / Clinic
🏢 Ut Medical Group Inc Facility NPI 1780676650

Medicare Profile & Education

Medical School

State University Of New York At Stony Brook, School Of Medicine

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Memphis, TN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -18.9 yrs vs City Avg
City Avg: 28.9 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Memphis, TN (110 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mukit (10 Years) 10 Yrs
Memphis Specialty Average (28.9 Years) 28.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-30
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License TN 74042

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License TN 74042

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Hospital & Practice Group Affiliations

Ut Medical Group Inc

1068 Cresthaven Rd, Memphis, TN 381190846

Phone: 9018668805

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Robert Wallace , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1023075637

Doctor of Medicine (M.D.)

Dr. Dani Kruchevsky , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1063123016

Doctor of Medicine (M.D.)

Melinda Homa

Physician Assistant - Surgical

NPI 1104569649
Madeleine Jones , PA-C

Physician Assistant - Surgical

NPI 1437035227

Physician Assistant (Certified)

Dr. Mahmoud Hassouba , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1437534682

Doctor of Medicine (M.D.)

Dr. Edward Luce , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1487611000

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location August 04, 2025

Registered at 1068 CRESTHAVEN RD STE 500, MEMPHIS, TN 381190846 (Tel: 9018668525)

📍
Updated Business Mailing Address August 04, 2025

Registered at 1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 381190809 (Tel: 9018668864)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2025

Plastic Surgery (License #74042 in TN)

📍
Updated Practice Location June 18, 2024

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083349750)

📍
Updated Business Mailing Address June 18, 2024

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083349750)

📍
Updated Practice Location May 19, 2023

Registered at 920 MADISON AVE, SUITE 447, MEMPHIS, TN 381033438 (Tel: 9014481350)

NPI Profile Active April 30, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address April 30, 2017

Registered at 920 MADISON AVE, SUITE 447, MEMPHIS, TN 381033438 (Tel: 9014481350)

📍
Updated Practice Location April 30, 2017

Registered at HSC 19 030, STONY BROOK, NY 117948191 (Tel: 6314441791)

👤
Provider Name / Credentials Updated April 30, 2017

Recorded as MUNTAZIM MUKIT, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2017

Student in an Organized Health Care Education/Training Program

NPI Profile Active March 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2016

Registered at HSC 19 030, STONY BROOK, NY 117948191 (Tel: 6314441791)

📍
Updated Business Mailing Address March 28, 2016

Registered at HSC 19 030, STONY BROOK, NY 117948191 (Tel: 6314441791)

👤
Provider Name / Credentials Updated March 28, 2016

Recorded as MUNTAZIM MUKIT, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235591371
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2016
Last Update: August 04, 2025
Sole Proprietor: No

Mailing Address

1068 Cresthaven Rd Ste 300

Memphis, TN 381190809

Phone: 9018668864

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.