Active NPI
Sunishka M Wimalawansa, M.D., M.B.A.
- Plastic and Reconstructive Surgery Physician
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 35.097024
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Baylor College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 31 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.097024 | OH | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Breast & Cosmetic Surgery Inc | Current | 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
- 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.
-
- Plastic Surgery Physician
- Kettering, OH
- NPI 1811098452
-
- Ambulatory Surgical Clinic/Center
- Beavercreek, OH
- NPI 1578734760
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.