Active NPI
Morgan Ellis Decker, MD
- Dermatology Physician
- Grosse Pointe Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 4301513314
- Practice address
- 16835 Kercheval Ave
Grosse Pointe Park, MI 48230-1532 - Phone
- (313) 777-7546
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4301513314 | MI | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 4301513314 | MI |
Addresses
Primary practice location
16835 Kercheval Ave
Grosse Pointe Park, MI 48230-1532
Mailing address
16835 Kercheval Ave
Grosse Pointe Park, MI 48230-1532
Phone (313) 777-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Wayne State University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16835 Kercheval Ave
Grosse Pointe Park, MI 48230-1532
Phone (313) 720-8299
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 93 |
| Removal of skin cancer | 41 |
| Skin biopsy | 62 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301513314 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Dermatology | Current | Accepting new patients |
| Rush University Medical Center | Dermatology | Current | Accepting new patients |
| Decker Dermatology PLLC | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Holley Medical Aesthetics PLLC | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1725 W Harrison St
Ste 264
Chicago, IL 60612
Phone (312) 942-2195
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
16835 Kercheval Ave
Grosse Pointe Park, MI 48230
Phone (313) 720-8299
Organizations & group practices 4
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.
-
- MOHS-Micrographic Surgery Physician
- Grosse Pointe Park, MI
- NPI 1578369997
-
- Plastic and Reconstructive Surgery Physician
- Portage, MI
- NPI 1801577671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1144857285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16835 KERCHEVAL AVE",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482301532",
"telephone_number": "313-777-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16835 KERCHEVAL AVE",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482301532",
"telephone_number": "313-777-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "MORGAN",
"middle_name": "ELLIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "4301513314",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "MI",
"license": "4301513314",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.