Individual provider Active NPI

Angela Lea Fugate, M.D.

  • Anesthesiology Physician
  • Brownsburg, IN
National Provider Identifier
1568704302
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01078223A Issued in IN
Practice address
124 E Northfield Dr Ste F320
Brownsburg, IN 46112-2600
Phone
(317) 588-2802
Fax
(317) 565-4645
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 01078223A IN Primary

Addresses

Primary practice location

124 E Northfield Dr Ste F320
Brownsburg, IN 46112-2600

Mailing address

124 E Northfield Dr Ste F320
Brownsburg, IN 46112-2600
Phone (317) 588-2802

Other names 1

  • Dr. Angela Lea Dismuke Former name

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01078223AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stratus Anesthesia Solutions Single Specialty CurrentSince Sep 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: afugate381023@direct.franciscanalliance.org

Organizations & group practices 1

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1568704302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E NORTHFIELD DR STE F320",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122600",
            "telephone_number": "317-588-2802",
            "fax_number": "317-565-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E NORTHFIELD DR STE F320",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122600",
            "telephone_number": "317-588-2802",
            "fax_number": "317-565-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "ANGELA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01078223A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DISMUKE",
            "middle_name": "LEA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brownsburg, IN

Sources for this page

Verify at the official NPI Registry.