• Current Vendor and Hospital Updates
  • Contact and Role Updates
  • Complete

This form allows STS National Database participants to add, deactivate, or update the contacts on file for their institutions. 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 DatabaseIf you wish to move from vendor-based participation to the direct data entry option for the Adult Cardiac, General Thoracic, or Congenital Heart Surgery Databases, contact the STS National Database team at stsdb@sts.org.

If you have questions about this form, contact the STS National Database team.

Enter your Participant/Site ID# (5 digits starting with a 1 or 3 for ACSD, 4 for GTSD, 5 for CHSD, and 7 for umbrella reports; 4-5 letters for Intermacs or Pedimacs):

Database Selection

Select the Database component for which you are requesting updates. Note: Select one component per form.

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.