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

MIGUEL AGUDELO MD
NPI 1336725100
Internal Medicine - Hepatology in Wilkes Barre, PA

Q: What is Miguel Agudelo's NPI number?

The NPI number for Miguel Agudelo is 1336725100. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Miguel Agudelo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Q: When was this NPI record last updated?

The NPPES record for Miguel Agudelo was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 22, 2021PECOS Enrolled

950 E MOUNTAIN DR, WILKES BARRE, PA 18711(570) 808-5780(570) 808-5753 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Mar 24, 2021 (2 updates tracked since 2021).

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About Miguel Agudelo Md NPPES

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

MIGUEL AGUDELO MD (NPI 1336725100) is an individual hepatology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD484780) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336725100

Entity TypeIndividualMale

Primary Taxonomy207RI0008X

Provider Legal NameMIGUEL AGUDELOCredential: MD

Location Address950 E MOUNTAIN DRWilkes Barre, PA 18711-0028

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-5780 · Fax (570) 808-5753

Phone(570) 808-5780

Fax(570) 808-5753

Sole ProprietorNo

Enumeration DateMarch 22, 2021

Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1336725100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0008X

License✔ Licensed in PA · MD484780

Definition

The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

950 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)

Miguel Agudelo 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.

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.

MRS. STEPHANIE WALSH ROUMIANTSEVA CRNP

Nurse Practitioner