Individual provider Active NPI

Morgan Ellis Decker, MD

  • Dermatology Physician
  • Grosse Pointe Park, MI
National Provider Identifier
1144857285
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301513314 Issued in MI
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

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240830003583 IL Practitioner - Dermatology 9537590013 Reassigns benefits to 1 organization
I20250908003000 MI Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9537590013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
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

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of tissue1-10
Removal of skin lesions93
Removal of skin cancer41
Skin biopsy62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301513314MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Dermatology CurrentSince Jul 29, 2024 Accepting new patients
Rush University Medical Center Dermatology CurrentSince Jul 29, 2024 Accepting new patients
Decker Dermatology PLLC Mohs-Micrographic Surgery CurrentSince Aug 1, 2025 Accepting new patients
Holley Medical Aesthetics PLLC PastSince Aug 1, 2025 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.

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

Verify at the official NPI Registry.