NPIMap

Individual provider Active NPI

Carl Lee Fugate, M.D.

  • Family Medicine Physician
  • Beloit, KS
National Provider Identifier
1326017013
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21034 Issued in KS
Practice address
1005 N Lincoln Ave
Beloit, KS 67420-1215
Phone
(785) 738-2246
Fax
(785) 738-4303
NPI assigned
Mar 15, 2006
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21034 KS Primary

Addresses

Primary practice location

1005 N Lincoln Ave
Beloit, KS 67420-1215

Mailing address

PO Box 587
Beloit, KS 67420-0587
Phone (785) 738-2246

Other identifiers 1

IdentifierTypeStateIssuer
100205430AMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address carlfugate@bmc.allscriptsdirect.net Direct BELOIT MEDICAL CENTER, P.A.
Direct Messaging Address HIM@mchhs.cernerdirect.com Direct Mitchell County Hospital Health Systems

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1005 N Lincoln Ave
Beloit, KS 67420-1215

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21034KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell County Hospital Health Systems Past Accepting new patients
Hilltop Lodge Health and Rehabilitation Center LLC Past Accepting new patients

Organizations & group practices 2

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1326017013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "BELOIT",
            "state": "KS",
            "postal_code": "674200587",
            "telephone_number": "785-738-2246",
            "fax_number": "785-738-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N LINCOLN AVE",
            "city": "BELOIT",
            "state": "KS",
            "postal_code": "674201215",
            "telephone_number": "785-738-2246",
            "fax_number": "785-738-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "CARL",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-04-23",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "21034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100205430A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlfugate@bmc.allscriptsdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Beloit Medical Center, PA",
            "affiliationName": "BELOIT MEDICAL CENTER, P.A.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1005 N Lincoln Ave",
            "city": "Beloit",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674201215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@mchhs.cernerdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Mitchell County Hospital",
            "affiliationName": "Mitchell County Hospital Health Systems",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "400 West 8th Street",
            "city": "Beloit",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674200399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beloit, KS

Sources for this page

Verify at the official NPI Registry.