Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pallav Deka, PHD, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1861926636

Pallav Deka, PHD, AGACNP-BC is a Nurse Practitioner in Holt, Michigan. Qualified in 2010, 16 years ago. Practices with Vituity - Michigan Hospitalists PC, a 74-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

5091 Willoughby Rd
Holt, MI 48842-1054
Phone: (517) 694-2144
Fax: (517) 694-7469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704350380 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704350380 (MI)

Record details

NPI number1861926636
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , AGACNP-BC
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Vituity - Michigan Hospitalists Pc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount