MAURA K GONCALO PAC
NPI 1770191009
Physician Assistant in Cranston, RI

Active since July 22, 2020PECOS EnrolledAccepts Medicare Assignment
395 ATWOOD AVE, CRANSTON, RI 02920(401) 464-9751(401) 464-9755 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2023, Oct 1, 2020, Jul 22, 2020 (3 updates tracked since 2020).

About Maura K Goncalo Pac NPPES

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

MAURA K GONCALO PAC (NPI 1770191009) is an individual physician assistant in Cranston, Rhode Island, licensed in Rhode Island (PA01255) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Roger Williams Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770191009
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAURA K GONCALOCredential: PAC
Location Address395 ATWOOD AVECranston, RI 02920-4358
Mailing Address442 Highland RdTiverton, RI 02878-4429 · (401) 297-6669
Fax(401) 464-9755
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 22, 2020
Last NPPES UpdateMarch 3, 20233 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
NPI 1770191009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in RI · PA01255 Licensed in MA · 7639
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
395 ATWOOD AVE, Cranston, RI 02920

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

Maura K Goncalo Pac 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 ID8022428200
PECOS Enrollment IDI20201028002371
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services30 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Roger Williams Medical Center

Acute Care Hospitals · Providence, RI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number410004
Location825 Chalkstone AvenueProvidence, RI 02908 · Providence County
Emergency services

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

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 Maura Goncalo's NPI number?

The NPI number for Maura Goncalo is 1770191009. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is Maura Goncalo located?

Maura Goncalo practices at 395 Atwood Ave, Cranston, RI 02920. The listed phone number is (401) 464-9751.

What is Maura Goncalo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maura Goncalo enrolled in Medicare?

Yes. Maura Goncalo 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.

Is Maura Goncalo affiliated with any hospitals?

According to CMS data, Maura Goncalo is affiliated with Roger Williams Medical Center, Our Lady Of Fatima Hospital, Rhode Island Hospital, Kent County Memorial Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Maura Goncalo was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.