Individual provider Active NPI

Sunishka M Wimalawansa, M.D., M.B.A.

  • Plastic and Reconstructive Surgery Physician
  • Beavercreek, OH
National Provider Identifier
1124272976
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
35.097024 Issued in OH
Practice address
2361 Lakeview Dr
Beavercreek, OH 45431-3695
Phone
(937) 704-2130
Fax
(937) 704-2140
NPI assigned
Nov 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 35.097024 OH Primary

Addresses

Primary practice location

2361 Lakeview Dr
Beavercreek, OH 45431-3695

Mailing address

2361 Lakeview Dr
Beavercreek, OH 45431-3695
Phone (937) 704-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828001501 OH Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 5193953412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Baylor College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Breast and Cosmetic Surgery IncGroup PAC ID 0840371134, 4 clinicians

Practice addresses (Care Compare)

2361 Lakeview Dr
Beavercreek, OH 45431-3695
Phone (937) 704-2130

580 Lincoln Park Blvd
Suite 255
Kettering, OH 45429-3493
Phone (937) 949-8457

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision31
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.097024OHMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Breast & Cosmetic Surgery Inc CurrentSince Dec 4, 2017 Accepting new patients
Advanced Breast & Cosmetic Surgery Center Current Accepting new patients

Locations

2361 Lakeview Dr
Beavercreek, OH 45431
Phone (937) 704-2130

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

30 E Apple St
Dayton, OH 45409
Phone (937) 208-2004

580 Lincoln Park Blvd
Ste 255
Kettering, OH 45429
Phone (937) 266-4668

Interoperability endpoints

  • Direct secure messaging: swimalawansa@directaddress.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1124272976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 LAKEVIEW DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313695",
            "telephone_number": "937-704-2130",
            "fax_number": "937-704-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 LAKEVIEW DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313695",
            "telephone_number": "937-704-2130",
            "fax_number": "937-704-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMALAWANSA",
        "first_name": "SUNISHKA",
        "middle_name": "M",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35.097024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.