Individual provider Active NPI

Baljit Singh Deol, M.D.

  • Neuroradiology Physician
  • Las Vegas, NV
National Provider Identifier
1417908278
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
25615 Issued in NV
Practice address
1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone
(702) 383-2000
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 4301065786 MI
Diagnostic Radiology Physician 2085R0202X 4301065786 MI
Diagnostic Radiology Physician 2085R0202X 25615 NV
Vascular & Interventional Radiology Physician 2085R0204X 4301065786 MI
Vascular & Interventional Radiology Physician 2085R0204X 25615 NV
Neuroradiology Physician 2085N0700X 25615 NV Primary

Addresses

Primary practice location

1800 W Charleston Blvd
Las Vegas, NV 89102-2386

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone (702) 383-2000

Other practice location 1

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MI, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051011000037 NV Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6608776497 Reassigns benefits to 3 organizations
I20111111000664 MI Practitioner - Interventional RadiologyPractitioner - NeurosurgeryPractitioner - Interventional Pain ManagementPractitioner - Diagnostic Radiology 6608776497 Reassigns benefits to 7 organizations
I20260302001720 IN Practitioner - Diagnostic Radiology 6608776497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Sep 1, 2024 Accepting new patients
McLaren Central Michigan Family Medicine CurrentSince Aug 15, 2025 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Jan 4, 2017 Accepting new patients
McLaren Flint Family Medicine CurrentSince Aug 15, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Aug 15, 2025 Accepting new patients
McLaren Greater Lansing Family Medicine CurrentSince May 14, 2025 Accepting new patients
McLaren Medical Group Family Medicine CurrentSince May 19, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Dec 12, 2025 Accepting new patients
McLaren Flint CurrentSince Aug 15, 2025 Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
McLaren Bay Region Family Medicine CurrentSince Aug 15, 2025 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Jan 4, 2017 Accepting new patients
McLaren Medical Group Diagnostic Radiology CurrentSince May 19, 2025 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Sep 1, 2024 Accepting new patients
Kent Radiology PC Diagnostic Radiology CurrentSince Dec 1, 2011 Accepting new patients
McLaren Greater Lansing Family Medicine CurrentSince May 14, 2025 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Hospital Group Diagnostic Radiology CurrentSince Sep 4, 2025 Accepting new patients
McLaren Bay Region CurrentSince Aug 15, 2025 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology Past Accepting new patients
Pueblo Medical Imaging, LLC Neuroradiology PastSince Dec 16, 1998 Accepting new patients
J Paul Wiesner & Associates Chartered Neuroradiology PastSince Nov 3, 2019 Accepting new patients
Decatur Radiology Physicians Services PLLC Diagnostic Radiology Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

4 Columbus Ave
Ste 160
Bay City, MI 48708
Phone (989) 377-4477

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

10090 E Lippincott Blvd
Davison, MI 48423
Phone (810) 653-1130

12805 Escanaba Dr
Ste 2
Dewitt, MI 48820
Phone (517) 367-5520

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1320 E M 32
Gaylord, MI 49735
Phone (231) 487-5400

245 State St SE
Ste 1A
Grand Rapids, MI 49503

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

1471 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 685-3414

6465 Millennium
Ste 100
Lansing, MI 48917
Phone (517) 975-3720

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

560 W Mitchell St
Ste 560
Petoskey, MI 49770
Phone (231) 487-2150

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

Interoperability endpoints

  • Direct secure messaging: bdeol101290@epic00.corewelldirect.org

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 24

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1417908278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022386",
            "telephone_number": "702-383-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022386",
            "telephone_number": "702-383-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Jefferson Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034502",
            "country_code": "US",
            "telephone_number": "616-685-6200",
            "fax_number": "616-364-4960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEOL",
        "first_name": "BALJIT",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MI",
            "license": "4301065786",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301065786",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "25615",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301065786",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NV",
            "license": "25615",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NV",
            "license": "25615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.