Perla P. Agpoon, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

18672 Issued in WI

Practice address

1859 E Moreland Blvd
Waukesha, WI 53186-3915

Phone

(262) 544-9680

Fax

(262) 544-1659

NPI assigned

May 23, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agpoon Medical Clinic, S.C.

  • Primary Care Clinic/Center
  • Waukesha, WI
  • NPI 1841243839
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730134255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 E MORELAND BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863915",
            "telephone_number": "262-544-9680",
            "fax_number": "262-544-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 E MORELAND BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863915",
            "telephone_number": "262-544-9680",
            "fax_number": "262-544-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGPOON",
        "first_name": "PERLA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "18672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL  LICENSE",
            "identifier": "18672",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31214300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aesthetic and Reconstructive Surgery Associates SC
• Affiliated Dermatologists SC
• Omer Afzal, M.D.
• Ag Perio LLC
• Agpoon Medical Clinic, S.C.
• Gregorio Aguilar Jr.
• Janine Marie Ahrens, APNP
• Dana Joy Akiya, MD
• Younus Dheyaa Younus Al-Midfai, MD
• Vickie Lynn Alba, OTR CHT

• Specialist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.