DEEPAK NALLUR
NPI 1871175695
Family Medicine in Beaverton, OR
About Deepak Nallur NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEEPAK NALLUR (NPI 1871175695) is an individual family medicine provider in Beaverton, Oregon, licensed in Oregon (DO221487) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Moreno Valley, and is a graduate of Rocky Vista University College Of Osteopathic Med (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Deepak Nallur 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Deepak Nallur's NPI number?
The NPI number for Deepak Nallur is 1871175695. It was assigned to this individual provider in the NPPES registry on April 21, 2021.
Where is Deepak Nallur located?
Deepak Nallur practices at 4855 SW Western Ave, Beaverton, OR 97005. The listed phone number is (800) 813-2000.
What is Deepak Nallur's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Deepak Nallur enrolled in Medicare?
Yes. Deepak Nallur 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.
When was this NPI record last updated?
The NPPES record for Deepak Nallur was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Deepak Nallur · NPI 1871175695
Family Medicine physician in Beaverton, Oregon. Individual provider, active in the CMS NPPES registry since April 21, 2021.
## Identity
- **NPI:** 1871175695 (Entity type: Individual)
- **Enumerated:** April 21, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DO221487 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4855 SW WESTERN AVE, Beaverton, OR 97005-3499
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Rocky Vista University College Of Osteopathic Med, class of 2021
## Record status
- **NPPES last updated:** October 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871175695) · Data from the CMS NPPES public registry.