PALLAVI NAGPAL MD
NPI 1265167092
Pediatrics in Fond Du Lac, WI

Active since July 16, 2022PECOS Enrolled
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937(920) 907-7000 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2025, Jun 26, 2025, Jul 16, 2022 (3 updates tracked since 2022).

About Pallavi Nagpal Md NPPES

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

PALLAVI NAGPAL MD (NPI 1265167092) is an individual pediatrics provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (85511-20) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1265167092
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePALLAVI NAGPALCredential: MD
Location Address210 WISCONSIN AMERICAN DRFond Du Lac, WI 54937-2999
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Enumeration DateJuly 16, 2022
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1265167092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WI · 85511-20
Definition
A 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 of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54937

Secondary Practice Location 1

Location 12500 Metrohealth DrCleveland, OH 44109-1998 · Phone (216) 778-4486

Other Identifiers 1

Medicaid100323726WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pallavi Nagpal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54937 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Pediatrics
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Nurse Practitioner
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Pediatrics
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Psychiatry & Neurology (Neurology)
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pallavi Nagpal's NPI number?

The NPI number for Pallavi Nagpal is 1265167092. It was assigned to this individual provider in the NPPES registry on July 16, 2022.

Where is Pallavi Nagpal located?

Pallavi Nagpal practices at 210 Wisconsin American Dr, Fond Du Lac, WI 54937. The listed phone number is (920) 907-7000.

What is Pallavi Nagpal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Pallavi Nagpal enrolled in Medicare?

Yes. Pallavi Nagpal is registered in the Medicare PECOS enrollment system.

What insurance does Pallavi Nagpal accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Pallavi Nagpal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pallavi Nagpal was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.