AIREEN-RONALDA MANALO AGULTO MD
NPI 1447771191
Internal Medicine - Gastroenterology in Saint Louis, MO

Q: What is Aireen-ronalda Agulto's NPI number?

The NPI number for Aireen-ronalda Agulto is 1447771191. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Q: What is Aireen-ronalda Agulto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since July 03, 2017PECOS EnrolledAccepts Medicare Assignment

10012 KENNERLY RD STE 102, SAINT LOUIS, MO 63128(314) 543-5911 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2024, Aug 19, 2024, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Aireen-ronalda Manalo Agulto Md NPPES

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

AIREEN-RONALDA MANALO AGULTO MD (NPI 1447771191) is an individual gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (2021014981) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1447771191

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameAIREEN-RONALDA MANALO AGULTOCredential: MD

Location Address10012 KENNERLY RD STE 102Saint Louis, MO 63128-2197

Mailing Address10012 Kennerly Rd Ste 102Saint Louis, MO 63128-2197 · (314) 543-5911

Phone(314) 543-5911

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 3, 2017

Last NPPES UpdateSeptember 19, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2024

✔ NPI 1447771191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MO · 2021014981

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

10012 KENNERLY RD STE 102, Saint Louis, MO 63128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Aireen-ronalda Manalo Agulto Md 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 ID2062817372

PECOS Enrollment IDI20240924003453

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.

Hospital Affiliations CMS Care Compare

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

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260077

Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 16

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

MOHAMMED EYAD YASEEN ALSABBAGH M.D.

Internal Medicine (Gastroenterology)