Individual provider Active NPI

David Decktor, MD

  • Diagnostic Radiology Physician
  • Lancaster, PA
National Provider Identifier
1144589649
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD463697 Issued in PA
Practice address
555 N Duke St
Lancaster, PA 17602-2250
Phone
(717) 544-4900
Fax
(717) 544-5907
NPI assigned
May 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD463697 PA Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2250

Mailing address

PO Box 4216
Lancaster, PA 17604-4216
Phone (717) 394-6028

Other identifiers 1

IdentifierTypeStateIssuer
103503140MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20180612001035 PA Practitioner - Diagnostic Radiology 2062715220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Radiology Associates LTDGroup PAC ID 0648267526, 53 clinicians
MRI Group, LLPGroup PAC ID 3779554464, 28 clinicians

Practice addresses (Care Compare)

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-4900

560 N Lime St
Lancaster, PA 17602-2216
Phone (717) 291-1016

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Upmc Lititz Hospital, Lititz, PA, CCN 390068

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Oct 1, 2021 Accepting new patients
University of Penn-Medical Group CurrentSince Oct 1, 2021 Accepting new patients
Lancaster Radiology Associates, LTD. Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Lancaster Pet Partnership, LLP CurrentSince Jun 12, 2018 Accepting new patients
MRI Group, LLP Diagnostic Radiology Current Accepting new patients
MRI Group, LLP Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Tuhc Radiology Group LLC Diagnostic Radiology PastSince Jul 1, 2017 Accepting new patients

Locations (25 of 28)

1001 Chesterbrook Blvd
Ste 100
Berwyn, PA 19312
Phone (610) 576-7500

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

424 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 291-1016

432 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 314-2618

895 E Main St
Ephrata, PA 17522
Phone (717) 721-4585

690 Good Dr
Lancaster, PA 17601
Phone (717) 544-0700

2104 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 290-3400

675 Good Dr
Lancaster, PA 17601
Phone (717) 406-3000

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

560 N Lime St
Lancaster, PA 17602
Phone (717) 241-1016

900 E King St
Lancaster, PA 17602
Phone (717) 293-7279

538 N Queen St
Lancaster, PA 17603
Phone (267) 886-6609

1520 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 393-1301

2104 Harrisburg Pike
Ste 4
Lancaster, PA 17601
Phone (717) 291-1016

2100 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3030

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

1671 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-5331

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

540 N Duke St
Lancaster, PA 17602
Phone (717) 544-4950

1701 Cornwall Rd
Lebanon, PA 17042
Phone (717) 675-1750

1001 E Oregon Rd
Lititz, PA 17543
Phone (717) 569-3271

51 Peters Rd
Lititz, PA 17543
Phone (717) 627-2400

546 N Penryn Rd
Manheim, PA 17545
Phone (717) 544-8075

950 S Octorara Trl
Parkesburg, PA 19365
Phone (610) 857-6616

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1144589649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4216",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176044216",
            "telephone_number": "717-394-6028",
            "fax_number": "717-509-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-4900",
            "fax_number": "717-544-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKTOR",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD463697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103503140",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.