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Active NPI 1861926636 Individual Practitioner Male Practitioner

Dr. Pallav Deka , PhD, AGACNP-BC

Nurse Practitioner • Holt, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pallav Deka, PhD, AGACNP-BC is a certified Nurse Practitioner practicing in Holt, MI. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Deka delivers high-quality medical care to the local community at 5091 WILLOUGHBY RD.

Dr. Deka is affiliated with Vituity - Michigan Hospitalists Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5091 Willoughby Rd

Holt, MI 488421054

Telephone 5176942144
Fax 5176947469
Associated Practice Facility / Clinic
🏢 Project Compassion, Inc. Facility NPI 1538219977

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Holt, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +10.0 yrs vs City Avg
City Avg: 6.0 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Holt, MI (3626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Deka (16 Years) 16 Yrs
Holt Specialty Average (6.0 Years) 6.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-08-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704350380

(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.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License MI 4704350380

Definition to come...

Hospital & Practice Group Affiliations

Vituity - Michigan Hospitalists Pc

1215 E Michigan Ave, Lansing, MI 489121811

Phone: 5173641000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Nicole Montgomery , COTAL

Occupational Therapy Assistant

NPI 1053865477
Qurratulain Qureshi

Physical Therapist

NPI 1073099891
Kayla Schunk , LPTA

Physical Therapy Assistant

NPI 1124581640

Licensed Physical Therapist Assistant

Epiphanie Usengimana

Occupational Therapy Assistant

NPI 1407413362
Lisa Bower , MS CCC-SLP

Speech-Language Pathologist

NPI 1669031662

MSCCCSLP

Meghan Wise , RDN

Dietitian, Registered

NPI 1730664467

Registered Dietitian Nutritionist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 19, 2019

Registered at 5091 WILLOUGHBY RD, HOLT, MI 488421054 (Tel: 5176942144)

📍
Updated Business Mailing Address September 19, 2019

Registered at 804 SERVICE RD STE A109B, EAST LANSING, MI 488247015 (Tel: 5176942144)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2019

Nurse Practitioner (License #4704350380 in MI)

NPI Profile Active April 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2017

Registered at 1301 W 18TH ST, SIOUX FALLS, SD 571050401 (Tel: 6053122200)

📍
Updated Business Mailing Address April 18, 2017

Registered at 5936 S LOIS LN, SIOUX FALLS, SD 571082666 (Tel: 4022163808)

👤
Provider Name / Credentials Updated April 18, 2017

Recorded as PALLAV DEKA, PHD, AGACNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Nurse Practitioner (License #CP 001200 in SD)

🟢
Initial NPI Registration & Enumeration April 18, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861926636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2017
Last Update: August 23, 2024
Sole Proprietor: No

Mailing Address

804 Service Rd Ste A109b

East Lansing, MI 488247015

Phone: 5176942144

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.