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MICHAEL DISTASIO
NPI 1194580795
Nurse Practitioner - Family in New Haven, CT

Active since February 14, 2024PECOS EnrolledAccepts Medicare Assignment
YALE NEW HAVEN HEALTH, 789 HOWARD AVENUE, NEW HAVEN, CT 06460(203) 430-6379 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Distasio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL DISTASIO (NPI 1194580795) is an individual family provider in New Haven, Connecticut, licensed in Connecticut (14094) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194580795
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL DISTASIO
Location AddressYALE NEW HAVEN HEALTH, 789 HOWARD AVENUENew Haven, CT 06460
Mailing Address69 Carriage Path SMilford, CT 06460-7544
Phone(203) 430-6379
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 14, 2024
Last NPPES UpdateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
✔ NPI 1194580795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 14094
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 154019 (CT)
YALE NEW HAVEN HEALTH, New Haven, CT 06460
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Distasio is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860922358
PECOS Enrollment IDI20250213001027
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06460 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Distasio's NPI number?

The NPI number for Michael Distasio is 1194580795. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Michael Distasio located?

Michael Distasio practices at Yale New Haven Health 789 Howard Avenue, New Haven, CT 06460. The listed phone number is (203) 430-6379.

What is Michael Distasio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Distasio enrolled in Medicare?

Yes. Michael Distasio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Distasio was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.