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ANDREW PAUL KOMONAKA FUGLESTAD MD
NPI 1235870510
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since April 02, 2022PECOS Enrolled
3316 STATE STREET DR, NEW ORLEANS, LA 70125(218) 341-4311 Get Directions Write a Review

NPPES record last updated: April 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Paul Komonaka Fuglestad Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW PAUL KOMONAKA FUGLESTAD MD (NPI 1235870510) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235870510
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW PAUL KOMONAKA FUGLESTADCredential: MD
Location Address3316 STATE STREET DRNew Orleans, LA 70125-4245
Mailing Address3316 State Street DrNew Orleans, LA 70125-4245 · (218) 341-4311
Phone(218) 341-4311
Sole ProprietorNo
Enumeration DateApril 2, 2022
NPPES CertifiedApril 2, 2022
✔ NPI 1235870510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3316 STATE STREET DR, New Orleans, LA 70125
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Paul Komonaka Fuglestad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Fuglestad's NPI number?

The NPI number for Andrew Fuglestad is 1235870510. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Where is Andrew Fuglestad located?

Andrew Fuglestad practices at 3316 State Street Dr, New Orleans, LA 70125. The listed phone number is (218) 341-4311.

What is Andrew Fuglestad's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrew Fuglestad enrolled in Medicare?

Yes. Andrew Fuglestad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Fuglestad was last updated on April 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.