Active NPI
James K Fugate Jr., MD
- Pediatrics Physician
- Reinholds, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD053184-L
- Practice address
- 30 W Swartzville Rd
Reinholds, PA 17569-9641 - Phone
- (717) 484-4347
- Fax
- (717) 484-0968
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD053184-L | PA | Primary |
Addresses
Primary practice location
30 W Swartzville Rd
Reinholds, PA 17569-9641
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
2221 Noll Dr
Ste 2000
Lancaster, PA 17603-7610
Phone (717) 715-1001
Other practice location 2
3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 898-2900
Other practice location 3
1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 356-6250
Other practice location 4
618 Cornwall Rd Ste 2
Lebanon, PA 17042-7089
Phone (717) 279-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014783040001 | Medicaid | PA | |
| 417574 | Other | HIGHMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Hahnemann University College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 W Swartzville Rd
Wellspan Family Medicine Cocalico
Reinholds, PA 17569-9641
Phone (717) 484-4347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD053184-L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Past | Accepting new patients | |
| Dubois Regional Medical Center | Past | Accepting new patients |
Locations
175 Martin Ave
Ste 125
Ephrata, PA 17522
Phone (717) 812-4602
618 Cornwall Rd
Ste 2
Lebanon, PA 17042
Phone (717) 270-5449
30 W Swartzville Rd
Reinholds, PA 17569
Phone (717) 466-5420
1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- jfugate92671@wellspan.direct-ci.com
- jfugate175805@direct-lghealth.org
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1225148653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W SWARTZVILLE RD",
"city": "REINHOLDS",
"state": "PA",
"postal_code": "175699641",
"telephone_number": "717-484-4347",
"fax_number": "717-484-0968"
}
],
"practiceLocations": [
{
"address_1": "2221 NOLL DR",
"address_2": "STE 2000",
"address_purpose": "LOCATION",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176037610",
"country_code": "US",
"telephone_number": "717-715-1001",
"fax_number": "717-431-2321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3045 Marietta Ave",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176011321",
"country_code": "US",
"telephone_number": "717-898-2900",
"fax_number": "717-898-3275",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 Roosevelt Ave",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174042244",
"country_code": "US",
"telephone_number": "717-356-6250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "618 Cornwall Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427089",
"country_code": "US",
"telephone_number": "717-279-6700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUGATE",
"first_name": "JAMES",
"middle_name": "K",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD053184-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014783040001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "417574",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reinholds, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.