STS Participant Contact Form

  • 1 Current: Vendor and Hospital Updates
  • 2 Contact and Role Updates
  • 3 Complete

This form allows participants in the Adult Cardiac Surgery, General Thoracic Surgery, and Congenital Heart Surgery components of the STS National Database to add or update the contact information on file for their institutions. It is essential that you keep your contact information up to date so that you receive important updates regarding your Database participation. Access STS National Database Forms and Participant Role Descriptions.

Please note: New participants must also complete a Participation Agreement and a Business Associates/Data Use Agreement. Learn more about joining the STS National Database.

If you have questions about this form, contact Adelaide Dolan.

Database Selection

Select your current Database component(s).

Hospital Name and NPI #

Refer to https://nppes.cms.hhs.gov to obtain the Hospital NPI # if needed.

Do you need to update the name and/or NPI# of your hospital?

Vendor Software Information

Please note: Prior to purchasing a software license, you must have a fully executed Participation Agreement in place with STS.

Have you changed your software vendor?

You must submit the following information prior to harvesting your site’s data, or your data will be rejected.