Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christopher R Kieliszak, DO

Individual provider Facial Plastic Surgery Physician · NPI 1346508421

Christopher R Kieliszak, DO is a Plastic and Reconstructive Surgery in Tampa, Florida. Qualified in 2012, 14 years ago. Works from 6 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
14
Licensed in
FL, NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1000 W Kennedy Blvd # 202
Tampa, FL 33606-1940
Phone: (813) 434-3238
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 810 Altos Oaks Dr, Los Altos, CA 94024 — (650) 941-8888
  • 1425 S Howard Ave, Tampa, FL 33606-3491 — (813) 253-2635
  • 395 West Ave Ste 301, Canandaigua, NY 14424-1548 — (585) 396-3110
  • 4638 Genesee St, Geneseo, NY 14454-1090 — (585) 243-2319
  • 1206 Driving Park Ave, Newark, NY 14513 — (315) 331-1313

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence OS19621 (FL)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence 300797 (NY)

Record details

NPI number1346508421
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 26, 2012
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address700 S Harbour Island Blvd Unit 137, Tampa, FL 33602-5727

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesDERMATOLOGY, OTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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