DR. FABRICIO GUIMARAES GONCALVES MD
NPI 1114639242
Radiology - Diagnostic Radiology in Indianapolis, IN

Active since December 20, 2022PECOS EnrolledAccepts Medicare Assignment
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202(317) 962-6793 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 27, 2026, Dec 20, 2022 (2 updates tracked since 2022).

About Dr. Fabricio Guimaraes Goncalves Md NPPES

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

DR. FABRICIO GUIMARAES GONCALVES MD (NPI 1114639242) is an individual diagnostic radiology provider in Indianapolis, Indiana, licensed in Indiana (01098281A) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bryn Mawr, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1114639242
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. FABRICIO GUIMARAES GONCALVESCredential: MD
Location Address1701 N SENATE BLVDIndianapolis, IN 46202-1239
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959 · (317) 963-4171
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 20, 2022
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1114639242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IN · 01098281A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License MD478544 (PA)
1701 N SENATE BLVD, Indianapolis, IN 46202

Secondary Practice Location 1

Location 1200 Landover RdBryn Mawr, PA 19010-2240 · Phone (267) 872-0737

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

Dr. Fabricio Guimaraes 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 ID6406219302
PECOS Enrollment IDI20230824003695
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

2

Medicare enrollment records show Fabricio Goncalves reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana and Pennsylvania enrollments
  • 5,212 clinicians in this Medicare group
Pediatric Radiology
1600 7TH AVE S, ACC STE 306
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 15 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

Anesthesiology
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Emergency Medicine
1701 N SENATE BLVD, B401
INDIANAPOLIS, IN 46202
Internal Medicine
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Internal Medicine (Critical Care Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
1701 N SENATE BLVD, RM AG 001
INDIANAPOLIS, IN 46202
Internal Medicine
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Cardiology)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Internal Medicine (Sleep Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202

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 Fabricio Goncalves's NPI number?

The NPI number for Fabricio Goncalves is 1114639242. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Where is Fabricio Goncalves located?

Fabricio Goncalves practices at 1701 N Senate Blvd, Indianapolis, IN 46202. The listed phone number is (317) 962-6793.

What is Fabricio Goncalves's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Fabricio Goncalves enrolled in Medicare?

Yes. Fabricio 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.

Which organizations bill Medicare for Fabricio Goncalves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fabricio Goncalves reassigns Medicare benefits to 2 organizations: Iu Health Medical Group, LLC (Indianapolis, IN) and Pediatric Radiology Associates PC (Birmingham, AL). 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 Fabricio Goncalves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fabricio Goncalves accept?

Health plans from Blue Cross and Blue Shield of Alabama and CareSource list Fabricio 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.

When was this NPI record last updated?

The NPPES record for Fabricio Goncalves was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.