DR. DERRICK LEE GOUBEAUX D.O.
NPI 1770825382
Pediatrics - Pediatric Hematology-Oncology in Indianapolis, IN

Active since March 21, 2013PECOS EnrolledAccepts Medicare Assignment
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-2143 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2023, Sep 7, 2022, Jun 20, 2019 (3 updates tracked since 2019).

About Dr. Derrick Lee Goubeaux D.o. NPPES

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

DR. DERRICK LEE GOUBEAUX D.O. (NPI 1770825382) is an individual pediatric hematology-oncology provider in Indianapolis, Indiana, licensed in Indiana (2080P0207X) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Wayne, and is a graduate of Nova Southeastern College Of Osteo Medicine (2013).

NPPES Registry Identity

NPI1770825382
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. DERRICK LEE GOUBEAUXCredential: D.O.
Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109
Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2013
Enumeration DateMarch 21, 2013
Last NPPES UpdateFebruary 9, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
NPI 1770825382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in IN · 2080P0207X
Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

Secondary Practice Location 1

Location 111104 Parkview Circle Dr Ste 50Fort Wayne, IN 46845-1733 · Phone (260) 266-5400 · Fax (260) 458-8948

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. Derrick Lee Goubeaux D.o. 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 ID3678715539
PECOS Enrollment IDI20220713000289
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.

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.

Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
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 Derrick Goubeaux's NPI number?

The NPI number for Derrick Goubeaux is 1770825382. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Where is Derrick Goubeaux located?

Derrick Goubeaux practices at 705 Riley Hospital Dr, Indianapolis, IN 46202. The listed phone number is (317) 944-2143.

What is Derrick Goubeaux's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Derrick Goubeaux enrolled in Medicare?

Yes. Derrick Goubeaux 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 Derrick Goubeaux accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Derrick Goubeaux 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 Derrick Goubeaux was last updated on February 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.