Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VONTRELLE LYNETTE ROUNDTREE M.D.
NPI 1295092484
Family Medicine in San Francisco, CA

Q: What is Vontrelle Roundtree's NPI number?

The NPI number for Vontrelle Roundtree is 1295092484. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Q: What is Vontrelle Roundtree's specialty?

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

Active since April 12, 2012PECOS Enrolled

2 EMBARCADERO CTR LBBY LEVEL, SAN FRANCISCO, CA 94111(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Dec 12, 2020 (2 updates tracked since 2020).

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About Vontrelle Lynette Roundtree M.d. NPPES

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

VONTRELLE LYNETTE ROUNDTREE M.D. (NPI 1295092484) is an individual family medicine provider in San Francisco, California, licensed in California (C-179107) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1295092484

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameVONTRELLE LYNETTE ROUNDTREECredential: M.D.

Location Address2 EMBARCADERO CTR LBBY LEVELSan Francisco, CA 94111-3823

Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723

Phone(888) 663-6331

Fax(415) 252-7176

Sole ProprietorNo

Enumeration DateApril 12, 2012

Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration

NPPES CertifiedOctober 12, 2026

✔ NPI 1295092484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · C-179107✔ Licensed in NC · 2013-01880

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.

2 EMBARCADERO CTR LBBY LEVEL, San Francisco, CA 94111

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Secondary Practice Location 1

Location 1101 Heart DrGreenville, NC 27834-8982 · Phone (252) 847-4267 · Fax (252) 847-1245

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vontrelle Lynette Roundtree M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Vontrelle Roundtree reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vidant Medical Group LLC

2,475 mi

Ambulatory Surgical

701 DOCTORS DR STE N
Kinston, NC 28501

Reassigned Medicare billing, North Carolina enrollment
1,653 clinicians in this Medicare group

NPI 1376049619 (252) 559-2200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94111 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 20

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

MS. MOENSANIA CARISA PHILLIPS NURSE PRACTITIONER

Nurse Practitioner (Family)