Individual provider Active NPI

Toby Lynn Fugate, D.O.

  • Infectious Disease Physician
  • Charleston, SC
National Provider Identifier
1295870186
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
1091 Issued in SC
Practice address
1481 Tobias Gadson Blvd Ste 1
Charleston, SC 29407-4879
Phone
(843) 402-3093
Fax
(843) 402-1094
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X DO000367 LA
Infectious Disease Physician 207RI0200X 1091 SC Primary

Addresses

Primary practice location

1481 Tobias Gadson Blvd Ste 1
Charleston, SC 29407-4879

Mailing address

PO Box 632500
Cincinnati, OH 45263-2500
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
010918MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20071108000548 SC Practitioner - Infectious DiseasePractitioner - Internal Medicine 6709853948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Kansas City University of Physicians and Surgeons, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Hospital IncGroup PAC ID 8426958919, 66 clinicians

Practice addresses (Care Compare)

1481 Tobias Gadson Blvd
Suite 1
Charleston, SC 29407-4879
Phone (843) 402-3093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO000367LAMDInfectious Disease Physician
1091SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Hospital Inc. CurrentSince Jun 30, 2019 Accepting new patients
Roper Hospital, Inc. Infectious Disease Current Accepting new patients
Roper Hospital, Inc. CurrentSince Jun 30, 2019 Accepting new patients
Roper Hospital, Inc. Past Accepting new patients
Infectious Diseases Consultants & Travel Medicine Infectious Disease Past Accepting new patients

Locations

1481 Tobias Gadson Blvd
Charleston, SC 29407

1481 Tobias Gadson Blvd
Ste 1
Charleston, SC 29407
Phone (843) 402-0367

2097 Henry Tecklenburg Dr
Ste 220
Charleston, SC 29414
Phone (843) 571-6868

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: tfugate1236802@direct.bsmhealth.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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1295870186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632500",
            "telephone_number": "888-472-0043",
            "fax_number": "513-653-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 TOBIAS GADSON BLVD STE 1",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074879",
            "telephone_number": "843-402-3093",
            "fax_number": "843-402-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "TOBY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "DO000367",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SC",
            "license": "1091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010918",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.