Individual provider Active NPI

Elizabeth Kiwanuka, M.D., PH.D.

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1346653185
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
30346801 Issued in NY
Practice address
30 Central Park S RM 13a
New York, NY 10019-1654
Phone
(212) 440-1700
Fax
(212) 656-1127
NPI assigned
Jun 10, 2014
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 30346801 NY Primary

Addresses

Primary practice location

30 Central Park S RM 13a
New York, NY 10019-1654

Mailing address

30 Central Park S RM 13a
New York, NY 10019-1654
Phone (212) 440-1700

Other names 1

  • Dr. Elizabeth Kiwanuka-Ssemakula Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140808001593 RI Order and Referring Only - Plastic and Reconstructive SurgeryPractitioner - Plastic and Reconstructive Surgery 6103043559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP03147RIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Kiwanuka MD PLLC CurrentSince Mar 12, 2024 Accepting new patients
Keith M. Blechman, M.D., P.C. Plastic Surgery Past Accepting new patients

Locations

30 Central Park S
Rm 13A
New York, NY 10019
Phone (212) 319-1700

635 Madison Ave
Ste 1700
New York, NY 10022
Phone (212) 440-1700

Interoperability endpoints

  • Direct secure messaging: ekiwanuka68000@northwell.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1346653185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CENTRAL PARK S RM 13A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191654",
            "telephone_number": "212-440-1700",
            "fax_number": "212-656-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CENTRAL PARK S RM 13A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191654",
            "telephone_number": "212-440-1700",
            "fax_number": "212-656-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIWANUKA",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "30346801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KIWANUKA-SSEMAKULA",
            "prefix": "DR.",
            "credential": "M.D., PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.