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

Dr. Callistus N. Ditah, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1972981215

Dr. Callistus N. Ditah, MD is a Cardiac Surgery in Syracuse, New York. Qualified in 2015, 11 years ago. Practices with University Surgical Associates LLP, a 49-clinician group and accepts Medicare assignment. Licensed in New York and Washington.

Years since qualifying
11
Licensed in
NY, WA
In the registry since
2015
Specialties on file
2
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

739 Irving Ave Ste 640
Syracuse, NY 13210-5095
Phone: (315) 464-6255
Fax: (615) 464-6251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 330140 (NY)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence MD61423828 (WA)

Record details

NPI number1972981215
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2015
Last updated in NPPESAugust 15, 2024
Certification dateSeptember 29, 2023

Medicare enrollment

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

Medicare specialtyCARDIAC SURGERY
Also practisesTHORACIC SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Surgical Associates Llp — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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