Individual provider Active NPI

James K Fugate Jr., MD

  • Pediatrics Physician
  • Reinholds, PA
National Provider Identifier
1225148653
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD053184-L Issued in PA
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

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0014783040001MedicaidPA
417574OtherHIGHMARK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040119000564 PA Practitioner - Pediatric Medicine 6406757749 Reassigns benefits to 1 organization

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
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

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

LicenseStateTypeSpecialty
MD053184-LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jul 10, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Jul 10, 2023 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Penn State Health Medical Group, LLC PastSince Dec 9, 2019 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

  • Direct secure messaging: jfugate92671@wellspan.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.