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

Sex

Male

Sole proprietor

Yes

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.

• Kenneth K. Fugate, M.D.

  • Internal Medicine Physician
  • Punxsutawney, PA
  • NPI 1750320628

  Internal Medicine

  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

  Hospital

  Care Compare affiliation

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 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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2009.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "010053900",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "126846",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL INSURANCES",
            "identifier": "251819235",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P0000958",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "211751",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010556490006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INDIVIDUAL #",
            "identifier": "003158",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "251819235001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEON/HEALTHAMERICA",
            "identifier": "3733",
            "state": "PA"
        }
    ],
    "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

• All providers in Punxsutawney, PA
• 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.