Kenneth K Fugate, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD039731L Issued in PA

Practice address

525 N Main St
Punxsutawney, PA 15767-2581

Phone

(814) 938-7933

Fax

(814) 938-9872

NPI assigned

Oct 4, 2005

Last updated

Nov 25, 2009By the provider in NPPES

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

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

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kfugate@direct.pah.org

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.

• Kenneth K. Fugate, M.D.

  • Internal Medicine Physician
  • Punxsutawney, PA
  • NPI 1750320628
  NPD (past) Authorized official
• Punxsutawney Area Hospital Inc

  • General Acute Care Hospital
  • Punxsutawney, PA
  • NPI 1265449870
  NPD

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

• Punxsutawney Area Hospital Inc

  • General Acute Care Hospital
  • Punxsutawney, PA
  • NPI 1265449870
  Care Compare affiliation

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1376530386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N MAIN ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672581",
            "telephone_number": "814-938-7933",
            "fax_number": "814-938-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N MAIN ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672581",
            "telephone_number": "814-938-7933",
            "fax_number": "814-938-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "KENNETH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039731L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Curstin Feliciano, PA-C
• Samantha Lynn Ferraro, M.S. CCC-SLP
• W Scott Flipse, MD
• Deborah Gavlak Freeland
• Douglas S Fugate, M.D.
• Ashley Geist
• George Carlson
• George R. Cherian, M.D., P.C.
• Giant Eagle, Inc
• Bethany Ann Gibbons, CRNP

• Internal Medicine Physician in Punxsutawney, PA
• Providers in Punxsutawney, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.

Verify at the official NPI Registry.