Active NPI
Elizabeth Kiwanuka, M.D., PH.D.
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1346653185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 30346801
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140808001593 | RI | Order and Referring Only - Plastic and Reconstructive Surgery | 6103043559 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP03147 | RI | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Kiwanuka MD PLLC | Current | 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
- 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.
-
- Plastic and Reconstructive Surgery Physician
- New York, NY
- NPI 1790542660
-
dba Breast Surgery Group
- Plastic Surgery Physician
- New York, NY
- NPI 1093104473
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.