Michael Decker, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

20A13087 Issued in CA

Practice address

2725 E Broadway
Long Beach, CA 90803-5431

Phone

(562) 434-4494

NPI assigned

May 2, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael Decker DO, Inc.Group PAC ID 9830481746, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southland Nursing home, Norwalk, CA, CCN 555070

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michael.decker@104097756413956.direct.elationemr.com

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

• Michael Decker, DO, Inc

  • Skilled Nursing Facility
  • Hermosa Beach, CA
  • NPI 1528410842
  Medicare reassignment Care Compare group Authorized official
• Michael Decker DO, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
  • NPI 1932555125
  NPD (past) Authorized official
• Michael Decker, DO, Inc

  • Skilled Nursing Facility
  • Hermosa Beach, CA
  • NPI 1033561725
  NPD (past) Authorized official
• Michael Decker, DO, Inc

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
  • NPI 1073960746
  NPD (past) Authorized official

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

• Southland Management LLC

  • Assisted Living Facility
  • Norwalk, CA
  • NPI 1821317231

  Nursing home

  Care Compare affiliation
• Southland Managment LLC

  • Skilled Nursing Facility
  • Norwalk, CA
  • NPI 1760477558

  Nursing home

  Care Compare affiliation
• Southland Health Care Center, LTD.

  • Mental Illness Intermediate Care Facility
  • Lufkin, TX
  • NPI 1467435743

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1124463229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 PIER AVE",
            "address_2": "#1352",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902548200",
            "telephone_number": "816-896-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 E BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035431",
            "telephone_number": "562-434-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A13087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina C. Deaton
• Christina Lauren Debartolo
• Anthony M Debeus, MD
• Devon Lawrence Decapua
• James Lowery Deck, PHD
• Darcy Sharon Deckman, LMFT
• Deconstruct Health Physical Therapy & Consulting PC
• Corinne Marie Decoste, LCSW
• Caitlin Eileen Decoursey, RN
• Jennifer Dee, OTR/L

• Physical Medicine & Rehabilitation Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.