DR. ROY VONGTAMA M.D.
NPI 1083837058
Radiology - Radiation Oncology in Los Angeles, CA

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
68.8/100
CMS Quality Rating
200 MEDICAL PLAZA, B265, LOS ANGELES, CA 90095(310) 825-0128(310) 794-9795 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Roy Vongtama M.d. NPPES

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

DR. ROY VONGTAMA M.D. (NPI 1083837058) is an individual radiation oncology provider in Los Angeles, California, licensed in California (A78334) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1083837058
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. ROY VONGTAMACredential: M.D.
Location Address200 MEDICAL PLAZA, B265Los Angeles, CA 90095
Mailing AddressFile #2939Los Angels, CA 90074 · (310) 301-8709 · Fax (310) 301-8751
Fax(310) 794-9795
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083837058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in CA · A78334
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
200 MEDICAL PLAZA, Los Angeles, CA 90095

Other Identifiers 1

Medicare ID-Type UnspecifiedA78334CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Roy Vongtama M.d. 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 ID4183720964
PECOS Enrollment IDI20070511000244
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Roy Vongtama reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
757 WESTWOOD PLZ
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 240 clinicians in this Medicare group
Radiation Oncology
200 MEDICAL PLZ SUITE B265
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group
Psychiatric Unit
1509 WILSON TER
Glendale, CA 91206
  • Reassigned Medicare billing, California enrollment
  • 164 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
101 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

68.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.43
Promoting Interoperability100
Improvement Activities40
Cost19.46

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,420,120,530
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA, #214,365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine (Rheumatology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Otolaryngology
200 MEDICAL PLAZA, #550
LOS ANGELES, CA 90095
Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine (Allergy & Immunology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA, #365
LOS ANGELES, CA 90095
Internal Medicine (Cardiovascular Disease)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095

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 Roy Vongtama's NPI number?

The NPI number for Roy Vongtama is 1083837058. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Roy Vongtama located?

Roy Vongtama practices at 200 Medical Plaza B265, Los Angeles, CA 90095. The listed phone number is (310) 825-0128.

What is Roy Vongtama's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Roy Vongtama enrolled in Medicare?

Yes. Roy Vongtama 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.

Which organizations bill Medicare for Roy Vongtama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Vongtama reassigns Medicare benefits to 3 organizations: Ucla Radiology Medical Group (Los Angeles, CA), The Regents Of The University Of California (Los Angeles, CA) and Glendale Adventist Medical Center (Glendale, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roy Vongtama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roy Vongtama was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.