SAMUEL JAMES FUGATE
NPI 1508561861
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Samuel Fugate's NPI number?

The NPI number for Samuel Fugate is 1508561861. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Samuel Fugate's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Fugate was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 04, 2023PECOS Enrolled

550 UNIVERSITY BLVD STE 2440, INDIANAPOLIS, IN 46202(317) 948-5923 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samuel James Fugate NPPES

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

SAMUEL JAMES FUGATE (NPI 1508561861) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508561861

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL JAMES FUGATE

Location Address550 UNIVERSITY BLVD STE 2440Indianapolis, IN 46202-5149

Mailing Address550 University Blvd Ste 2440Indianapolis, IN 46202-5149 · (317) 948-5923

Phone(317) 948-5923

Sole ProprietorNo

Enumeration DateApril 4, 2023

NPPES CertifiedApril 4, 2023

✔ NPI 1508561861 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.

550 UNIVERSITY BLVD STE 2440, Indianapolis, IN 46202

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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)

Samuel James Fugate 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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIELLE SUWANNA MOSS DO

Student in an Organized Health Care Education/Training Program