Marcello Michael Distasio Jr., M.D., PH.D.
NPI 1609295781ActiveIndividual· Pathology, Neuropathology· New Haven, CT
Pathology, Neuropathology (M.D., PH.D.) with Yale University, practicing in New Haven, Connecticut. Medicare paid $2,433 for services to 16 patients in 2024. Lists Yale-New Haven Hospital as a hospital affiliation.
Overview
| NPI | 1609295781 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D., PH.D. |
| Sole proprietor | No |
| NPI issued | Apr 15, 2014 |
| Last updated in NPPES | Nov 2, 2020 |
| Certified by provider | Nov 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Neuropathology Primary | 207ZN0500X | 64362 | CT |
| Pathology, Anatomic Pathology | 207ZP0101X | 64362 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 101 across 10 procedure codes |
| Paid by Medicare | $2,433 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Pathology |
Medical group
- Yale UniversityNew Haven, CT · 2,645 clinicians
Hospital affiliation
- Yale-New Haven HospitalNew Haven, CT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pathology, Neuropathology providers in New Haven
- 1316171762
- 1972885010