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

BISHOY NABIL NICOLAS GOUBRAN MD
NPI 1639673916
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wauwatosa, WI

Active since March 21, 2018PECOS Enrolled
1220 DEWEY AVE, WAUWATOSA, WI 53213(414) 773-4312 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Jul 5, 2023, Jun 8, 2021 and 2 more (5 updates tracked since 2018).

About Bishoy Nabil Nicolas Goubran Md NPPES

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

BISHOY NABIL NICOLAS GOUBRAN MD (NPI 1639673916) is an individual child & adolescent psychiatry provider in Wauwatosa, Wisconsin, licensed in Wisconsin (87313) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Rush Medical College Of Rush University (2012).

NPPES Registry Identity

NPI1639673916
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameBISHOY NABIL NICOLAS GOUBRANCredential: MD
Location Address1220 DEWEY AVEWauwatosa, WI 53213-2504
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2012
Enumeration DateMarch 21, 2018
Last NPPES UpdateOctober 29, 20265 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1639673916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in WI · 87313✔ Licensed in IL · 036.155786
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036.155786 (IL)
1220 DEWEY AVE, Wauwatosa, WI 53213

Secondary Practice Location 1

Location 11620 W Harrison StChicago, IL 60612-3801 · Phone (305) 284-7761

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

Bishoy Nabil Nicolas Goubran 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 ID4284037789
PECOS Enrollment IDI20221116002225
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 Bishoy Goubran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
Psychiatry
600 W 22ND ST STE 260
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 37 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.

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.

Pharmacist
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychologist
1220 DEWEY AVE, LORTON BLDG, RM 208
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Social Worker (Clinical)
1220 DEWEY AVE
WAUWATOSA, WI 53213

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 Bishoy Goubran's NPI number?

The NPI number for Bishoy Goubran is 1639673916. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Bishoy Goubran located?

Bishoy Goubran practices at 1220 Dewey Ave, Wauwatosa, WI 53213. The listed phone number is (414) 773-4312.

What is Bishoy Goubran's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Bishoy Goubran enrolled in Medicare?

Yes. Bishoy Goubran 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 Bishoy Goubran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bishoy Goubran reassigns Medicare benefits to 2 organizations: Rush University Medical Center (Chicago, IL) and Mugen Psychiatry LLC (Oak Brook, IL). 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 Bishoy Goubran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bishoy Goubran accept?

Health plans from Ambetter Health and UnitedHealthcare list Bishoy Goubran 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 Bishoy Goubran was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.