PALLAV DEKA PHD, AGACNP-BC
NPI 1861926636
Nurse Practitioner in Holt, MI

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
5091 WILLOUGHBY RD, HOLT, MI 48842(517) 694-2144(517) 694-7469 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2024, Sep 19, 2019, Apr 18, 2017 (3 updates tracked since 2017).

About Pallav Deka Phd, Agacnp-bc NPPES

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

PALLAV DEKA PHD, AGACNP-BC (NPI 1861926636) is an individual nurse practitioner in Holt, Michigan, licensed in Michigan (4704350380) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1861926636
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NamePALLAV DEKACredential: PHD, AGACNP-BC
Location Address5091 WILLOUGHBY RDHolt, MI 48842-1054
Mailing Address804 Service Rd Ste A109bEast Lansing, MI 48824-7015 · (517) 694-2144 · Fax (517) 694-7469
Fax(517) 694-7469
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 18, 2017
Last NPPES UpdateAugust 23, 20243 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1861926636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704350380
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704350380 (MI)
5091 WILLOUGHBY RD, Holt, MI 48842

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pallav Deka Phd, Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486986379
PECOS Enrollment IDI20191025001403
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Pallav Deka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
1200 E MICHIGAN AVE, SUITE 725
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
Hospitalist
1215 E MICHIGAN AVE
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 115 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48842 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 16

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

Occupational Therapy Assistant
5091 WILLOUGHBY RD
HOLT, MI 48842
Physical Therapist
5091 WILLOUGHBY RD
HOLT, MI 48842
Physical Therapy Assistant
5091 WILLOUGHBY RD
HOLT, MI 48842
Family Medicine (Geriatric Medicine)
5091 WILLOUGHBY RD
HOLT, MI 48842
Skilled Nursing Facility
5091 WILLOUGHBY RD
HOLT, MI 48842
Occupational Therapy Assistant
5091 WILLOUGHBY RD
HOLT, MI 48842
Physical Therapy Assistant
5091 WILLOUGHBY RD
HOLT, MI 48842
Skilled Nursing Facility
5091 WILLOUGHBY RD
HOLT, MI 48842

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 Pallav Deka's NPI number?

The NPI number for Pallav Deka is 1861926636. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Pallav Deka located?

Pallav Deka practices at 5091 Willoughby Rd, Holt, MI 48842. The listed phone number is (517) 694-2144.

What is Pallav Deka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Pallav Deka enrolled in Medicare?

Yes. Pallav Deka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Pallav Deka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pallav Deka reassigns Medicare benefits to 2 organizations: Capital Cardiology PC (Lansing, MI) and Vituity - Michigan Hospitalists PC (Lansing, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pallav Deka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pallav Deka accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Pallav Deka 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.

Is Pallav Deka affiliated with any hospitals?

According to CMS data, Pallav Deka is affiliated with Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Pallav Deka was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.