Marisa M. Juntilla, MD, PHD
NPI 1689800229ActiveIndividual· Pathology, Anatomic Pathology· Dallas, TX
Pathology, Anatomic Pathology (MD, PHD) in Dallas, Texas, licensed in TX and CA, with an NPI issued in June 2009. Enrolled in Medicare as practitioner - pathology and practitioner - pathology.
Overview
| NPI | 1689800229 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD, PHD |
| Sole proprietor | No |
| NPI issued | Jun 10, 2009 |
| Last updated in NPPES | Jul 22, 2022 |
| Certified by provider | Jul 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology Primary | 207ZP0101X | T3488 | TX |
| Pathology, Clinical Pathology | 207ZC0006X | A117810 | CA |
| Pathology, Clinical Pathology | 207ZC0006X | T3488 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (CA); Practitioner - Pathology (TX) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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