MARIE KRIELLE TASHA PANTINO (MD) – Internal Medicine Physician, NPI 1962060012
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
784 HEMATOLOGY/ONCOLOGY in PA
Provider Addresses for MARIE KRIELLE TASHA PANTINO (MD)
1700 ST LUKES BLVD OFC
EASTON, PA 180455670
Phone: (484) 526-1000
Type: Mailing
34490 Bob Hope Dr
Rancho Mirage, CA 92270
Phone: (760) 568-3613
Type: Location
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 191413098
Phone: (215) 456-6629
Type: Mailing
5401 OLD YORK RD
PHILADELPHIA, PA 191413030
Phone: (215) 456-6629
Type: Location
34490 BOB HOPE DR
RANCHO MIRAGE, CA 922701713
Phone: (760) 568-3613
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $159.
Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.
Last reported payment date: 2023-11-29 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($121).
Total Amount
$159
General + Research + Ownership
Payments
3
Total payment records
General Amount
$159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $121 |
| Daiichi Sankyo Inc. | $23 |
| Adaptive Biotechnologies Corporation | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251006001176 | I | Hematology/Oncology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 18045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA |
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