DR. WOLLELAW W AGMAS (M.D) – Public Health & General Preventive Medicine Physician, NPI 1174937825

DR. WOLLELAW W AGMAS (M.D) is a healthcare provider. based in Denver, Colorado. specializing in PREVENTIVE MEDICINE. They hold the professional credentials M.D. They hold a License No. A182144 (CA). The NPI Number for DR. WOLLELAW W AGMAS (M.D) is 1174937825

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. WOLLELAW W AGMAS (M.D)
NPI
1174937825
Phone
(909) 754-6434
Address
12175 ALBROOK DR APT 1311
Enumeration Date
19 June 2014
Last Update Date
6 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9095790778
Graduation Year
2005 (21 years ago)
PAC ID
3870965379
Group Practice PAC ID
2668369109
Professional Enrollment ID
I20230209002170
Address ID
CA917303107RA8263XAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

6 PREVENTIVE MEDICINE in ME

Provider Addresses for DR. WOLLELAW W AGMAS (M.D)

  • 12175 ALBROOK DR APT 1311

    DENVER, CO 802394517

    Phone: (909) 754-6434

    Type: Mailing

  • 22 BRAMHALL ST

    PORTLAND, ME 041023134

    Phone: (207) 662-7068

    Type: Location

  • 8263 GROVE AVE STE 201

    RANCHO CUCAMONGA, CA 917303107

    Phone: (909) 579-0708

    Fax: (909) 579-0778

    Type: Location

  • 6255 W SUNSET BLVD FL 21

    LOS ANGELES, CA 900287422

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $890.

Total Amount is formed as General ($890) + Research ($0) + Ownership ($0) = $890.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ViiV Healthcare Company ($669).

Total Amount

$890

General + Research + Ownership

Payments

29

Total payment records

General Amount

$890

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230209002170IPreventive MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10345$0
36415Insertion of needle into vein for collection of blood sample4027$0
G0009Administration of pneumococcal vaccine1313$0
G0008Administration of influenza virus vaccine1211$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1111$0
View full utilization report →

Insurance plans in this area (ZIP 80239)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668369109View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. WOLLELAW W AGMAS (M.D) using NPI 1174937825?
NPI 1174937825 belongs to DR. WOLLELAW W AGMAS (M.D); compare other details if you need extra assurance.
Is DR. WOLLELAW W AGMAS (M.D) shown as active in public data?
Registry records indicate DR. WOLLELAW W AGMAS (M.D) maintains an active NPI.
What clinical focus is listed for DR. WOLLELAW W AGMAS (M.D)?
At a glance, DR. WOLLELAW W AGMAS (M.D) is tied to Public Health & General Preventive Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Colorado is DR. WOLLELAW W AGMAS (M.D) registered?
Use Denver, Colorado as the headline location for DR. WOLLELAW W AGMAS (M.D) here.
When was this NPI issued?
Enumeration for DR. WOLLELAW W AGMAS (M.D) is noted as June 19, 2014 where the registry provides it.

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