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

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: November 01, 2026.

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

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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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 (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.

Medicare Billing Reassignment

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

Geisinger Clinic
3.1 mi
Radiation Oncology
50 ROOSEVELT TERRACE
Wilkes Barre, PA 18702
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1316182983 (570) 822-9822

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

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
950 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-5770
CATHERINE MAHOLICK PA-C
Physician Assistant
950 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-3290
DANIELLE LEIGH RIGGI FNP, DNP
Nurse Practitioner
950 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-3200
DANIEL GUEVIN PA-C
Physician Assistant
950 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-2506
MS. EVELYN LIZ THOMAS PA-C
Physician Assistant
950 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-3290
APRIL ALEXANDER CRNP
Nurse Practitioner
950 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-5780
ELIZABETH ANNE ANGLIM
Nurse Practitioner (Family)
950 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-5770
KENDALL LEET
Nurse Practitioner
950 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-3200

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 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.

Where is Miguel Agudelo located?

Miguel Agudelo practices at 950 E Mountain Dr, Wilkes Barre, PA 18711. The listed phone number is (570) 808-5780.

What is Miguel Agudelo's specialty?

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

Is Miguel Agudelo enrolled in Medicare?

Yes. Miguel Agudelo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miguel Agudelo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Agudelo 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 Miguel Agudelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miguel Agudelo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Miguel Agudelo 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.

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 2 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.