NPI age
19 years
Enumerated 2007-05-21
● Active
Type 1 · Individual
Melissa M. M. Agoudemos, M.D.
Agoudemos is 1 of 2 pediatrics providers in Meridian and 1 of 15 in Idaho.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
IL, IA
2 states
Status
Active
No deactivations on record
Last NPPES update
2017-04-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15 active pediatrics providers in Idaho.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
2 states
Top 80% — 20% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
520 S Eagle Rd, Suite 2204
Meridian, ID 836426351
Mailing address
520 S Eagle Rd, Suite 2204
Meridian, ID 836426351
Specialties
-
Pediatrics PrimaryA pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels,...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (IL) | 036125447 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 223 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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