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

Active since July 24, 2023PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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, is affiliated with Geisinger Wyoming Valley Medical Center, and is a graduate of Other (2010).

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
Medical School CMSOtherGraduated 2010
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Oluwarotimi Poluyi M.d., M.p.h is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466917786
PECOS Enrollment IDI20260717001315
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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Poluyi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Geisinger Clinic
0.2 mi
Hematology & Oncology
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1316999782 (570) 826-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Charles Poluyi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Poluyi reassigns Medicare benefits to Geisinger Clinic (Wilkes Barre, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Poluyi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Poluyi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Charles Poluyi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Poluyi affiliated with any hospitals?

According to CMS data, Charles Poluyi is affiliated with Geisinger Wyoming Valley Medical Center.

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 4 months 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.