Active NPI
Diya H Tantawi, MD, FACS
- Plastic Surgery Physician
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A126218
- Practice address
- 70225 Highway 111 Ste B&C
Rancho Mirage, CA 92270-2997 - Phone
- (760) 537-3023
- Fax
- (760) 837-8611
- NPI assigned
- Apr 18, 2009
- Last updated
- Apr 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A126218 | CA | Primary |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | A126218 | CA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A126218 | CA |
Addresses
Primary practice location
70225 Highway 111 Ste B&C
Rancho Mirage, CA 92270-2997
Mailing address
70225 Highway 111 Ste B&C
Rancho Mirage, CA 92270-2997
Phone (760) 537-3023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, CA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
70225 Hwy 111
Suite Bandc
Rancho Mirage, CA 92270-2997
Phone (760) 537-3023
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Mastectomy | 15 |
| Melanoma (skin cancer) excision | 11 |
| Removal of tissue | 483 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126218 | CA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Surgery | Current | Accepting new patients |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Surgery | Current | Accepting new patients |
| Eisenhower Medical Center | Past | Accepting new patients |
Locations
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
1040 Division St
Mauston, WI 53948
Phone (608) 847-5000
1050 Division St
Mauston, WI 53948
Phone (608) 847-6161
28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mile Bluff ER/UC Providers
- Emergency Medicine Physician
- Mauston, WI
- NPI 1609912005
-
dba BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
dba Mile Bluff Urgent Care
- Urgent Care Clinic/Center
- Mauston, WI
- NPI 1437958683
-
dba Mile Bluff Mauston Clinic
- Rural Health Clinic/Center
- Mauston, WI
- NPI 1881930527
Surgery
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cathedral City, CA
- NPI 1285294876
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1235372376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70225 HIGHWAY 111 STE B&C",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922702997",
"telephone_number": "760-537-3023",
"fax_number": "760-837-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70225 HIGHWAY 111 STE B&C",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922702997",
"telephone_number": "760-537-3023",
"fax_number": "760-837-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANTAWI",
"first_name": "DIYA",
"middle_name": "H",
"credential": "MD, FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-18",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A126218",
"primary": true
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "CA",
"license": "A126218",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A126218",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.