CARLOS RODRIGO GOULART MD
NPI 1104208305
Student in an Organized Health Care Education/Training Program in New Haven, CT
About Carlos Rodrigo Goulart Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS RODRIGO GOULART MD (NPI 1104208305) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains a secondary practice location in Duluth.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Carlos Rodrigo Goulart 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.
Medicare Billing Reassignment
Medicare enrollment records show Carlos Goulart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Duluth, MN 55804
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNEssentia Health Duluth
Acute Care Hospitals · Duluth, MNOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
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 Carlos Goulart's NPI number?
The NPI number for Carlos Goulart is 1104208305. It was assigned to this individual provider in the NPPES registry on June 24, 2015.
Where is Carlos Goulart located?
Carlos Goulart practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.
What is Carlos Goulart's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Carlos Goulart enrolled in Medicare?
Yes. Carlos Goulart 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 organization bills Medicare for Carlos Goulart's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Goulart reassigns Medicare benefits to The Duluth Clinic, Ltd (Duluth, MN). The 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 Carlos Goulart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Goulart accept?
Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Carlos Goulart 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 Carlos Goulart affiliated with any hospitals?
According to CMS data, Carlos Goulart is affiliated with Essentia Health St Mary's Medical Center and Essentia Health Duluth.
When was this NPI record last updated?
The NPPES record for Carlos Goulart was last updated on May 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Carlos Rodrigo Goulart, MD · NPI 1104208305
Student in an Organized Health Care Education/Training Program provider in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since June 24, 2015.
## Identity
- **NPI:** 1104208305 (Entity type: Individual)
- **Enumerated:** June 24, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 20 YORK ST, New Haven, CT 06510-3220
- **Phone:** (203) 688-4242
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Duluth Clinic, Ltd (NPI 1245278936, Duluth, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104208305) · Data from the CMS NPPES public registry.