Dirk Andrew Dekerlegand, P.A.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00642 Issued in TX

Practice address

4103 S Medford Dr
Lufkin, TX 75901-5633

Phone

(936) 639-2384

Fax

(936) 639-9888

NPI assigned

Jul 3, 2006

Last updated

Apr 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Texas Medical Branch at Galveston, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Burke CenterGroup PAC ID 1254312077, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Burke Center

  • Psychiatry Physician
  • Lufkin, TX
  • NPI 1396792420
  Medicare reassignment Care Compare group
• Burke Center

  • Developmental Disabilities Clinic/Center
  • Lufkin, TX
  • NPI 1164572772
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1679503965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015633",
            "telephone_number": "936-633-5650",
            "fax_number": "936-633-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015633",
            "telephone_number": "936-639-2384",
            "fax_number": "936-639-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKERLEGAND",
        "first_name": "DIRK",
        "middle_name": "ANDREW",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00642",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "PA00642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181080601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dedicated Home Health PLLC
• Dedicated Medical Home Health PLLC
• Dedicated MRI Center, PLLC
• Deep East Texas Council of Governments
• Opeoluwa Yetunde Dehinbo, M.D.
• Jacque Louis Delahoussaye, RPA
• Dental Center of Lufkin
• Dept of Assistive & Rehab Serv - Lufkin Field Office
• Pratibha Amol Deshpande, M.D.
• Kelly Dickinson

• Physician Assistant in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.