1. Home
  2. Directory
  3. Texas
  4. Galveston
  5. Pediatrics
  6. NPI Profile

RAFAEL ANTONIO FONSECA MD
NPI 1821109273
Pediatrics - Neonatal-Perinatal Medicine in Galveston, TX

Active since August 31, 2006PECOS Enrolled
301 UNIVERSITY BLVD, RT 0526, GALVESTON, TX 77555(409) 772-2815(409) 772-0744 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rafael Antonio Fonseca Md NPPES

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

RAFAEL ANTONIO FONSECA MD (NPI 1821109273) is an individual neonatal-perinatal medicine provider in Galveston, Texas, licensed in Texas (M7187) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821109273
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameRAFAEL ANTONIO FONSECACredential: MD
Location Address301 UNIVERSITY BLVD, RT 0526Galveston, TX 77555-0526
Mailing Address301 University Blvd, Rt 0526Galveston, TX 77555-0526 · (409) 772-2815 · Fax (409) 772-0744
Phone(409) 772-2815
Fax(409) 772-0744
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1821109273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in TX · M7187
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License M7187 (TX)
301 UNIVERSITY BLVD, Galveston, TX 77555
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael Antonio Fonseca Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Rafael Fonseca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utmb Faculty Group Practice
Same address
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group
NPI 1942241146 (409) 772-2222

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.

AMY KATHERINE HAVERTY PNP
Nurse Practitioner (Pediatrics)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222
EVA NOVAK BLIGHT NNP
Nurse Practitioner (Neonatal)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222
DR. JENNIFER ANN MINNEMAN MD
Surgery (Trauma Surgery)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-1011
DR. JAMES HAROLD PAVELA MD
Internal Medicine
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-7063
DIAA HAMOUDA MBBCH
Psychiatry & Neurology (Neurology)
301 UNIVERSITY BLVD, JSA 9.128
GALVESTON, TX 77555
Galveston County (409) 772-8031
SOMMER KIRSCH CAUSEY MD
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-1221
RANDA ABDELMASIH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (832) 505-2300
HEATHER PENTON
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Galveston County (409) 772-2222

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 Rafael Fonseca's NPI number?

The NPI number for Rafael Fonseca is 1821109273. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Rafael Fonseca located?

Rafael Fonseca practices at 301 University Blvd Rt 0526, Galveston, TX 77555. The listed phone number is (409) 772-2815.

What is Rafael Fonseca's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Rafael Fonseca enrolled in Medicare?

Yes. Rafael Fonseca is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rafael Fonseca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Fonseca reassigns Medicare benefits to Utmb Faculty Group Practice (Galveston, TX). 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 Rafael Fonseca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Fonseca accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Rafael Fonseca 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 Rafael Fonseca was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.