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DR. LUCIA DEI RONCALLI MD
NPI 1013175918
Family Medicine in Santa Rosa, CA

Active since May 28, 2008Opted out of Medicare · through Jul 1, 2028
1010 SUNDOWN TRL, SANTA ROSA, CA 95404(510) 407-4697 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Lucia Dei Roncalli Md NPPES

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

DR. LUCIA DEI RONCALLI MD (NPI 1013175918) is an individual family medicine provider in Santa Rosa, California, licensed in California (A110937) and active in the NPI registry since May 2008. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1013175918
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LUCIA DEI RONCALLICredential: MD
Location Address1010 SUNDOWN TRLSanta Rosa, CA 95404-1115
Mailing Address1010 Sundown TrlSanta Rosa, CA 95404-1115
Phone(510) 407-4697
Sole ProprietorYes
Enumeration DateMay 28, 2008
Last NPPES UpdateAugust 3, 2017
✔ NPI 1013175918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A110937
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1010 SUNDOWN TRL, Santa Rosa, CA 95404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lucia Dei Roncalli Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Lucia Roncalli's NPI number?

The NPI number for Lucia Roncalli is 1013175918. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Lucia Roncalli located?

Lucia Roncalli practices at 1010 Sundown Trl, Santa Rosa, CA 95404. The listed phone number is (510) 407-4697.

What is Lucia Roncalli's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lucia Roncalli enrolled in Medicare?

No. Lucia Roncalli has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lucia Roncalli was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.