Individual provider Active NPI

Rod M Goncalves, MD

  • Surgery Physician
  • Lenoir, NC
National Provider Identifier
1225052673
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
NC2011-01543 Issued in NC
Practice address
401 Mulberry St SW Ste 202
Lenoir, NC 28645-5463
Phone
(828) 757-6146
Fax
(828) 757-5944
NPI assigned
Jul 27, 2006
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NC2011-01543 NC Primary
Surgery Physician 208600000X 35448 TN

Addresses

Primary practice location

401 Mulberry St SW Ste 202
Lenoir, NC 28645-5463

Mailing address

330 NC Hwy 108
Rutherfordton, NC 28139
Phone (828) 286-1743

Other practice location 1

330 NC Hwy 108
Rutherfordton, NC 28139
Phone (828) 286-1743

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgoncalves465848@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120810000855 NC Practitioner - General Surgery 4183513765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northwestern University Feinberg Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, 212 clinicians

Practice addresses (Care Compare)

401 Mulberry St SW
Suite 202
Lenoir, NC 28645-5463
Phone (828) 757-6146

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NC2011-01543NCMDSurgery Physician
35448TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. CurrentSince Feb 12, 2019 Accepting new patients
Caldwell Memorial Hospital, Inc. Surgery CurrentSince Feb 12, 2019 Accepting new patients
Surgical Specialists PLLC Surgery Past Accepting new patients
DLP Rutherford Regional Health System, LLC Past Accepting new patients
Cleveland Medical Clinic Inc Past Accepting new patients
Memorial Health Urgentone, Inc. Past Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

1031 Morganton Blvd SW
Ste B
Lenoir, NC 28645
Phone (828) 757-6200

401 Mulberry St SW
Ste 202
Lenoir, NC 28645
Phone (828) 757-6146

Interoperability endpoints

  • Direct secure messaging: rgoncalves465848@direct.unc.nchie.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1225052673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 NC HWY 108",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "28139",
            "telephone_number": "828-286-1743",
            "fax_number": "828-287-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MULBERRY ST SW STE 202",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455463",
            "telephone_number": "828-757-6146",
            "fax_number": "828-757-5944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 NC HWY 108",
            "address_purpose": "LOCATION",
            "city": "Rutherfordton",
            "state": "NC",
            "postal_code": "28139",
            "country_code": "US",
            "telephone_number": "828-286-1743",
            "fax_number": "828-287-3731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONCALVES",
        "first_name": "ROD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "NC2011-01543",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "35448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgoncalves465848@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "401 Mulberry St SW Ste 202",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.