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

David Anthony Distefano, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1083173082

David Anthony Distefano, MD is an Orthopedic Surgery in Syracuse, New York. Qualified in 2019, 7 years ago. Practices with Syracuse Orthopedic Specialists, PLLC, a 115-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5719 Widewaters Pkwy
Syracuse, NY 13214-1985
Phone: (315) 251-3100
Fax: (315) 449-9923
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 338689 (NY)

Record details

NPI number1083173082
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESAugust 16, 2025
Certification dateAugust 16, 2025
Mailing addressPo Box 580, Syracuse, NY 13214-0580

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Syracuse Orthopedic Specialists, Pllc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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