Individual provider Active NPI

David A Wyszomierski, M.D.

  • Pediatrics Physician
  • Latrobe, PA
National Provider Identifier
1245235118
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD030754E Issued in PA
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101297OtherPAHIGHMARK
000972920003MedicaidPA
812894OtherPAAETNA HMO
102996OtherPAUPMC FOR YOU
4278510OtherPAAETNA MANAGED CHOICE
163796OtherPATHREE RIVERS MEDPLUS
P000880OtherPAGATEWAY 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000207 PA Practitioner - Pediatric Medicine 7517917735 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Latrobe Pediatrics CurrentSince Dec 17, 2004 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Excela Health Physician Practices, Inc CurrentSince Mar 1, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.