DR. MARIO H LOBAO GONCALVES MD
NPI 1063922573
Orthopaedic Surgery - Sports Medicine in Shreveport, LA

Active since October 10, 2017PECOS EnrolledAccepts Medicare Assignment
1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2024, Jul 23, 2021, Oct 10, 2017 (3 updates tracked since 2017).

About Dr. Mario H Lobao Goncalves Md NPPES

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

DR. MARIO H LOBAO GONCALVES MD (NPI 1063922573) is an individual sports medicine provider in Shreveport, Louisiana, licensed in Louisiana (328121) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Monroe, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1063922573
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. MARIO H LOBAO GONCALVESCredential: MD
Location Address1541 KINGS HWYShreveport, LA 71103-4228
Mailing Address1541 Kings Hwy, Attn: Payor CredentialingShreveport, LA 71103-4228
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 10, 2017
Last NPPES UpdateNovember 14, 20243 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
NPI 1063922573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in LA · 328121
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 328121 (LA)
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 328121 (LA)
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 328121 (LA)
1541 KINGS HWY, Shreveport, LA 71103

Other Names 1

Professional Name (2)Dr. Mario H Lobao Md

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mario H Lobao Goncalves Md 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 ID9830594555
PECOS Enrollment IDI20210818003066
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.

Areas of Expertise CMS Part B claims 8

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.

X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
84 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services46 patients
X-ray of elbow, minimum of 3 views 73080
An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.
23 services13 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
21 services15 patients
Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area 50.0 sq cm or less 97607
This procedure involves a special bandage and vacuum pump to promote healing in a wound area of 50.0 sq cm or less. The vacuum helps remove excess fluid and contaminants. Disposable medical equipment ensures cleanliness throughout the process.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lsu Health Monroe

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190011
Location4864 Jackson StreetMonroe, LA 71202 · Ouachita County
Emergency services Birthing friendly

Christus Shreveport-Bossier Health System

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190041
Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County
Emergency services Birthing friendly

Ochsner Lsu Health Shreveport

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190098
Location1541 Kings HighwayShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Ochsner Lsu Health Shreveport-St Mary Medical Cent

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190317
Location911 Margaret PlaceShreveport, LA 71101 · Caddo County
Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier18 claims18 services$85.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Cardiovascular Disease)
1541 KINGS HWY
SHREVEPORT, LA 71103
Pediatrics
1541 KINGS HWY
SHREVEPORT, LA 71103
Pediatrics (Pediatric Pulmonology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Anesthesiology
1541 KINGS HWY
SHREVEPORT, LA 71103
Physician Assistant (Medical)
1541 KINGS HWY
SHREVEPORT, LA 71103
Internal Medicine (Interventional Cardiology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Radiology (Radiation Oncology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Psychiatry & Neurology (Neurology)
1541 KINGS HWY
SHREVEPORT, LA 71103

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 Mario Lobao Goncalves's NPI number?

The NPI number for Mario Lobao Goncalves is 1063922573. It was assigned to this individual provider in the NPPES registry on October 10, 2017. The provider is also known as Dr. Mario H Lobao MD.

Where is Mario Lobao Goncalves located?

Mario Lobao Goncalves practices at 1541 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0000.

What is Mario Lobao Goncalves's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Mario Lobao Goncalves enrolled in Medicare?

Yes. Mario Lobao Goncalves 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.

What insurance does Mario Lobao Goncalves accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Mario Lobao Goncalves as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mario Lobao Goncalves affiliated with any hospitals?

According to CMS data, Mario Lobao Goncalves is affiliated with Ochsner Lsu Health Monroe, Christus Shreveport-Bossier Health System, Ochsner Lsu Health Shreveport, Willis Knighton Medical Center and Ochsner Lsu Health Shreveport-St Mary Medical Cent.

When was this NPI record last updated?

The NPPES record for Mario Lobao Goncalves was last updated on November 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.