Active NPI
David J Ciesla, MD
- Surgery Physician
- Burlington, VT
On this page
- Key facts
- Organizations & group practices10
- Hospital & facility affiliations1
- Care Compare profile
- Medicare participation
- Medicare enrollment records4
- National Provider Directory
- Specialties & licenses6
- Addresses
- Other identifiers2
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Burlington, VT
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 042-0017059
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-3790
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Surgery, VT
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
-
- General Acute Care Hospital
- Edwards, CO
- NPI 1659151009
-
- Acute Care Nurse Practitioner
- Washington, DC
- NPI 1013989896
Surgical Critical Care
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Colorado School of Medicine, Denver, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Umass Memorial Medical Center/University Campus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VT, MA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 4
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080124000200 | FL | Practitioner - General Surgery | 4183682149 | Reassigns benefits to 1 organization |
| I20230816004232 | VT | Practitioner - General Surgery | 4183682149 | Reassigns benefits to 1 organization |
| I20260327004029 | MA | Practitioner - General Surgery | 4183682149 | Reassigns benefits to 1 organization |
| I20260617004626 | PA | Practitioner - General Surgery | 4183682149 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0040580 | CO | MD | Surgery Physician |
| ME 100403 | FL | MD | Surgery Physician |
| MD495650 | PA | MD | Surgery Physician |
| 1026633 | MA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Surgery | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Surgery | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Vail Clinic, Inc. | Past | Accepting new patients | |
| University of Vermont Medical Center Inc | Past | Accepting new patients | |
| Washington Metropolitan Practice Plan | Surgical Critical Care | Past | Accepting new patients |
Locations
12901 N 30th St
Tampa, FL 33612
Phone (813) 974-0703
12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 844-4103
13330 Usf Laurel Dr
Fl 3
Tampa, FL 33612
Phone (813) 396-9422
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Interoperability endpoints
- dciesla538967@direct.uvmhealth.org
- dciesla6302@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Specialties & licenses 6
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DR.0040580 | CO | |
| Surgery Physician | 208600000X | MD495650 | PA | |
| Trauma Surgery Physician | 2086S0127X | 1026633 | MA | |
| Surgical Critical Care Physician | 2086S0102X | 1026633 | MA | |
| Surgery Physician | 208600000X | ME 100403 | FL | |
| Surgery Physician | 208600000X | 042-0017059 | VT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
120 N 7th St Ste 200
Chambersburg, PA 17201-1795
Phone (717) 217-6800
Other practice location 2
12901 Bruce B Downs Blvd
Tampa, FL 33612-4742
Phone (813) 844-7968
Other practice location 3
2500 Rocky Mountain Ave Ste 2200
Loveland, CO 80538-9004
Phone (970) 203-7250
Other practice location 4
55 Lake Ave N
Worcester, MA 01655-0002
Phone (774) 475-0931
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09161 | Other | FL | BLUE CROSS BLUE SHIELD |
| 279982100 | Medicaid | FL |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dciesla6302@direct.tgh.org |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2026.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1962454900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-3790"
}
],
"practiceLocations": [
{
"address_1": "120 N 7th St Ste 200",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011795",
"country_code": "US",
"telephone_number": "717-217-6800",
"fax_number": "717-839-2807",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12901 Bruce B Downs Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336124742",
"country_code": "US",
"telephone_number": "813-844-7968",
"fax_number": "813-844-4049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 Rocky Mountain Ave Ste 2200",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805389004",
"country_code": "US",
"telephone_number": "970-203-7250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "774-475-0931",
"fax_number": "508-856-4224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CIESLA",
"first_name": "DAVID",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "DR.0040580",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD495650",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MA",
"license": "1026633",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MA",
"license": "1026633",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME 100403",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VT",
"license": "042-0017059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09161",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279982100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dciesla6302@direct.tgh.org",
"affiliation": "N",
"address_1": "12901 Bruce B Downs Blvd",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336124742",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.