AIREEN-RONALDA MANALO AGULTO (MD) – Internal Medicine Physician, NPI 1447771191
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
489 GASTROENTEROLOGY in MO
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Provider Addresses for AIREEN-RONALDA MANALO AGULTO (MD)
400, North Keene Street, Columbia, Boone County, Missouri, 65201, United States
COLUMBIA, MO 652016626
Phone: (573) 882-4438
Fax: (573) 884-9992
Type: Mailing
University Hospital, 1, Hospital Drive, Columbia, Boone County, Missouri, 65212, United States
COLUMBIA, MO 652121000
Phone: (573) 884-4438
Fax: (573) 884-9992
Type: Location
10012 KENNERLY RD STE 102
SAINT LOUIS, MO 631282197
Phone: (314) 543-5911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $839.
Total Amount is formed as General ($839) + Research ($0) + Ownership ($0) = $839.
Last reported payment date: 2024-12-25 • Largest payer in this snapshot: ABBVIE INC. ($354).
Total Amount
$839
General + Research + Ownership
Payments
19
Total payment records
General Amount
$839
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $354 |
| E.R. Squibb & Sons, L.L.C. | $145 |
| ERBE USA Inc | $101 |
| Takeda Pharmaceuticals U.S.A., Inc. | $68 |
| Phathom Pharmaceuticals, Inc. | $42 |
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: 2024-09-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240924003453 | I | Gastroenterology | MO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | MO | |
| - | MO | |
| G A S T R O E N T E R O L O G Y | NC | |
| General Surgery | MO | |
| G A S T R O E N T E R O L O G Y | MO | |
| Gastroenterology, Internal Medicine | MO | |
| G A S T R O E N T E R O L O G Y | MO | |
| - | MO | |
| Gastroenterology, Internal Medicine | MO | |
| Gastroenterology, Internal Medicine | MO |
Reviews
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