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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CHARLES OLUWAROTIMI POLUYI M.D., M.P.H
NPI 1043990161
Internal Medicine in Wilkes Barre, PA

Active since July 24, 2023PECOS Enrolled
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711(570) 808-7399(570) 808-5942 Get Directions Write a Review

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

About Dr. Charles Oluwarotimi Poluyi M.d., M.p.h NPPES

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

DR. CHARLES OLUWAROTIMI POLUYI M.D., M.P.H (NPI 1043990161) is an individual internal medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD494684) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043990161
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHARLES OLUWAROTIMI POLUYICredential: M.D., M.P.H
Location Address1000 E MOUNTAIN DRWilkes Barre, PA 18711-0027
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-7399 · Fax (570) 808-5942
Phone(570) 808-7399
Fax(570) 808-5942
Sole ProprietorYes
Enumeration DateJuly 24, 2023
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1043990161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD494684
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 E MOUNTAIN DR, Wilkes Barre, PA 18711
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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)

Dr. Charles Oluwarotimi Poluyi M.d., M.p.h 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. PAUL ANTHONY ARKLESS M.D.
Internal Medicine (Pulmonary Disease)
1000 E MOUNTAIN DR, PULMONARY DEPARTMENT
WILKES BARRE, PA 18711
Luzerne County (570) 808-5770
DR. JEEWENDRA DULAL M.D.
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7399
DR. DANIEL GOLTZ D.O
Emergency Medicine
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7762
JULIA CHRISTINA D'SOUZA MD MTR
Radiology (Vascular & Interventional Radiology)
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7779
VRUNDA MANGAROLIYA MD
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7399
BARRY LEE GREEN DO
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7916
HALEEMA SAJID M.D.
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7916
MEENAKSHI DAVULURI M.D.
Urology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7850

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 Charles Poluyi's NPI number?

The NPI number for Charles Poluyi is 1043990161. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Charles Poluyi located?

Charles Poluyi practices at 1000 E Mountain Dr, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7399.

What is Charles Poluyi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Poluyi enrolled in Medicare?

Yes. Charles Poluyi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Poluyi was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.