1. Home
  2. Directory
  3. California
  4. Rancho Mirage
  5. Internal Medicine
  6. NPI Profile

MARIE KRIELLE TASHA PANTINO MD
NPI 1962060012
Internal Medicine - Hematology & Oncology in Rancho Mirage, CA

Active since June 04, 2019PECOS EnrolledAccepts Medicare Assignment
34490 BOB HOPE DR, RANCHO MIRAGE, CA 92270(760) 568-3613 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, Jun 13, 2025, Jun 4, 2019 (3 updates tracked since 2019).

About Marie Krielle Tasha Pantino Md NPPES

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

MARIE KRIELLE TASHA PANTINO MD (NPI 1962060012) is an individual hematology & oncology provider in Rancho Mirage, California, licensed in California (A201801) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Mirage, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962060012
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameMARIE KRIELLE TASHA PANTINOCredential: MD
Location Address34490 BOB HOPE DRRancho Mirage, CA 92270-1713
Mailing Address34490 Bob Hope DrRancho Mirage, CA 92270-1713 · (760) 568-3613
Phone(760) 568-3613
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 4, 2019
Last NPPES UpdateAugust 18, 20253 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1962060012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CA · A201801
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
34490 BOB HOPE DR, Rancho Mirage, CA 92270
Open in Google Maps ↗

Secondary Practice Location 1

Location 134490 Bob Hope DrRancho Mirage, CA 92270 · Phone (760) 568-3613

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

Marie Krielle Tasha Pantino Md 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 ID9436483542
PECOS Enrollment IDI20251006001176
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 92270 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
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN K BEHNKE DO
Internal Medicine (Rheumatology)
34490 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 568-3613
DR. TYLER LEE DAVIS M.D.
Internal Medicine (Hematology & Oncology)
34490 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 568-3613
THU TRINH FNP-BC
Nurse Practitioner (Family)
34490 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 568-3613

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 Marie Krielle Tasha Pantino's NPI number?

The NPI number for Marie Krielle Tasha Pantino is 1962060012. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Marie Krielle Tasha Pantino located?

Marie Krielle Tasha Pantino practices at 34490 Bob Hope Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 568-3613.

What is Marie Krielle Tasha Pantino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Marie Krielle Tasha Pantino enrolled in Medicare?

Yes. Marie Krielle Tasha Pantino 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 Marie Krielle Tasha Pantino was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.