DAVID WILSON WORMUTH M.D. M.P.H. NPI 1053371344

NPI Information

  • NPI: 1053371344
  • Provider Name: DAVID WILSON WORMUTH, M.D., M.P.H.
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5008 BRITTONFIELD PKWY STE 700
    EAST SYRACUSE, NY
    ZIP 13057
  • Phone: (315) 234-7860

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NPI Details

David Wilson Wormuth, M.D., M.P.H. is a thoracic surgery cardiothoracic vascular surgery in East Syracuse, NY with 36 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. David Wilson Wormuth, M.D., M.P.H. NPI is 1053371344. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5008 BRITTONFIELD PKWY STE 700
EAST SYRACUSE, NY
ZIP 13057-249
Phone: (315) 234-7860
Fax: (315) 634-5170

The NPI 1053371344 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ct scan of chest without contrast (HCPCS:71250)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Delineation of thoracic targets for radiation therapy (HCPCS:32701)
  • Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus (HCPCS:87637)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 3/23/2006 and was last updated on 9/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)218591NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102091129MEDICAIDNEW YORK
2P00446825OTHERNEW YORKRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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