Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mario H Lobao Goncalves, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1063922573

Dr. Mario H Lobao Goncalves, MD is a Sports Medicine in Shreveport, Louisiana. Qualified in 2004, 22 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
22
Licensed in
LA
In the registry since
2017
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 328121 (LA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 328121 (LA)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence 328121 (LA)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence 328121 (LA)

Record details

NPI number1063922573
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 10, 2017
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport