Ryan Matthew Fugate, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD60699034 Issued in WA

Practice address

7525 SE 24TH St Ste 400
Mercer Island, WA 98040-2300

Phone

(206) 230-0330

Fax

(206) 230-0336

NPI assigned

Jun 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 12, 2017 through Aug 12, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Cara Erkut, MD PLLC

  • Psychiatry Physician
  • Mercer Island, WA
  • NPI 1710715172
  NPD

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1003042797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 SE 24TH ST STE 400",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402300",
            "telephone_number": "206-230-0330",
            "fax_number": "206-230-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 SE 24TH ST STE 400",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402300",
            "telephone_number": "206-230-0330",
            "fax_number": "206-230-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60699034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Jo Fredrikson, RDH
• Douglas W Free
• Miriam Anna Friedman, OTR/L
• Judy Anne Frounfelter, LMP
• Ailin W Fu, LAC
• G4 Athlete LLC
• Richard E. Gardner, R.PH.
• Rachel A. Garton, M.D.
• Martin Gelfand, M.D.
• Aude Geltzer, M.A, L.M.H.C A.

• Psychiatry Physician in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.