Active NPI
Joseph M Fugaro, MD
- Surgical Critical Care Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 37979
- Practice address
- 1120 S Utica Ave
Tulsa, OK 74104-4012 - Phone
- (918) 382-2560
- Fax
- (918) 382-2569
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 2006018901 | MO | |
| Surgical Critical Care Physician | 2086S0102X | 37979 | OK | Primary |
Addresses
Primary practice location
1120 S Utica Ave
Tulsa, OK 74104-4012
Mailing address
1145 S Utica Ave Ste 110
Tulsa, OK 74104-4013
Phone (918) 579-3825
Other practice location 1
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-5976
Other practice location 2
2101 Corona Rd Ste 102
Columbia, MO 65203-2582
Phone (573) 234-1800
Other practice location 3
3255 Independence St
Landmark Hospital
Cape Girardeau, MO 63701-4914
Phone (573) 335-1091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201257300 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, MT, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-9393
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37979 | OK | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibra Physicians LLC | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients | |
| The Curators of the University of Missouri | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
1003 E Cherry St
Troy, MO 63379
Phone (636) 528-6755
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
3528 Gabel Rd
Billings, MT 59102
Phone (406) 373-8000
3572 Hesper Rd
Billings, MT 59102
Phone (406) 413-6200
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
Dept 1206
Tulsa, OK 74182
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
Interoperability endpoints
- jfugaro332774@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 11
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.
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
dba Cushing Medical Specialist
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
-
dba Mercy Hospital Washington McAuley Clinic
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1972536969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 S UTICA AVE STE 110",
"city": "TULSA",
"state": "OK",
"postal_code": "741044013",
"telephone_number": "918-579-3825",
"fax_number": "918-579-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741044012",
"telephone_number": "918-382-2560",
"fax_number": "918-382-2569"
}
],
"practiceLocations": [
{
"address_1": "211 Saint Francis Dr",
"address_purpose": "LOCATION",
"city": "Cape Girardeau",
"state": "MO",
"postal_code": "637035049",
"country_code": "US",
"telephone_number": "573-331-5976",
"fax_number": "573-331-5040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 Corona Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652032582",
"country_code": "US",
"telephone_number": "573-234-1800",
"fax_number": "573-234-1799",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3255 Independence St",
"address_2": "Landmark Hospital",
"address_purpose": "LOCATION",
"city": "Cape Girardeau",
"state": "MO",
"postal_code": "637014914",
"country_code": "US",
"telephone_number": "573-335-1091",
"fax_number": "573-331-8453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUGARO",
"first_name": "JOSEPH",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MO",
"license": "2006018901",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "OK",
"license": "37979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201257300",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.