Active NPI
David A Wyszomierski, M.D.
- Pediatrics Physician
- Latrobe, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD030754E
- Practice address
- 210 Weldon St
Latrobe, PA 15650-1848 - Phone
- (724) 539-3535
- Fax
- (724) 532-0610
- NPI assigned
- Jun 16, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD030754E | PA | Primary |
Addresses
Primary practice location
210 Weldon St
Latrobe, PA 15650-1848
Mailing address
214 Rebecca Dr
Latrobe, PA 15650-2278
Phone (724) 537-0591
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101297 | Other | PA | HIGHMARK |
| 000972920003 | Medicaid | PA | |
| 812894 | Other | PA | AETNA HMO |
| 102996 | Other | PA | UPMC FOR YOU |
| 4278510 | Other | PA | AETNA MANAGED CHOICE |
| 163796 | Other | PA | THREE RIVERS MEDPLUS |
| P000880 | Other | PA | GATEWAY HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Latrobe | Pediatrics | Current | Accepting new patients |
| Excela Health Physician Practices, Inc | Current | Accepting new patients | |
| Excela Health Physician Practices, Inc. | Current | Accepting new patients | |
| Excela Health Physician Practices, Inc | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Latrobe Area Hospital, Inc. | Past | Accepting new patients |
Locations
134 Industrial Park Rd
Ste 2300B
Greensburg, PA 15601
Phone (724) 689-1836
532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000
100 Excela Health Dr
Ste 301
Latrobe, PA 15650
Phone (724) 537-1480
100 Excela Health Dr
Ste 201
Latrobe, PA 15650
Phone (724) 804-1725
1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207
210 Weldon St
Latrobe, PA 15650
Phone (724) 539-3535
Interoperability endpoints
- davidwyszomierski@emg.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Greensburg, PA
- NPI 1821225202
-
- Pediatrics Physician
- Latrobe, PA
- NPI 1215989421
-
- Psychiatry Physician
- Greensburg, PA
- NPI 1861438095
-
- Family Medicine Physician
- Greensburg, PA
- NPI 1235004193
-
- Family Medicine Physician
- Greensburg, PA
- NPI 1184682031
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245235118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 REBECCA DR",
"city": "LATROBE",
"state": "PA",
"postal_code": "156502278",
"telephone_number": "724-537-0591",
"fax_number": "724-532-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 WELDON ST",
"city": "LATROBE",
"state": "PA",
"postal_code": "156501848",
"telephone_number": "724-539-3535",
"fax_number": "724-532-0610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYSZOMIERSKI",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD030754E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "101297",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000972920003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "812894",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC FOR YOU",
"identifier": "102996",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA MANAGED CHOICE",
"identifier": "4278510",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS MEDPLUS",
"identifier": "163796",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "P000880",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latrobe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.