Individual provider Active NPI

Philip Anthony Decker, MD

  • Surgery Physician
  • Owensboro, KY
National Provider Identifier
1225038334
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
37389 Issued in KY
Practice address
2801 New Hartford Rd
Owensboro, KY 42303-1320
Phone
(270) 683-3720
Fax
(270) 686-7331
NPI assigned
Jul 29, 2005
Last updated
Nov 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01056579A IN
Surgery Physician 208600000X 37389 KY Primary
Vascular Surgery Physician 2086S0129X 37389 KY
Vascular Surgery Physician 2086S0129X 01056579A IN

Addresses

Primary practice location

2801 New Hartford Rd
Owensboro, KY 42303-1320

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 683-3720

Other practice location 1

421 7th St
Tell City, IN 47586-2202
Phone (812) 547-7448

Other practice location 2

1213 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 274-4771

Other practice location 3

440 Hopkinsville St Ste 2E
Greenville, KY 42345-1124
Phone (279) 377-2440

Other identifiers 2

IdentifierTypeStateIssuer
200386620MedicaidIN
64052632MedicaidKY

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address pdecker5553@direct.owensborohealth.org Owensboro Health Medical Group, Inc
Direct Messaging Address pdecker5553@direct.owensborohealth.org
Direct Messaging Address pdecker5553@direct.owensborohealth.org
Direct Messaging Address pdecker5553@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20100714000586 IN Practitioner - General Surgery 1759452261 Reassigns benefits to 1 organization
I20100715000236 KY Practitioner - General Surgery 1759452261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health Medical Group IncGroup PAC ID 0648255034, shared by 5 NPIs, 455 clinicians

Practice addresses (Care Compare)

2801 New Hartford Rd
Owensboro, KY 42303-1320
Phone (270) 683-3720

421 7TH St
Tell City, IN 47586-2202
Phone (812) 547-7448

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy36
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP212KYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Surgery Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince May 4, 2013 Accepting new patients
Owensboro Health Medical Group, Inc Surgery CurrentSince Nov 4, 2024 Accepting new patients
Owensboro Health Medical Group, Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince May 4, 2013 Accepting new patients

Locations

1 Hospital Rd
Tell City, IN 47586
Phone (812) 547-0135

27 US Highway 66 E
Tell City, IN 47586
Phone (812) 395-2011

421 7th St
Tell City, IN 47586
Phone (812) 547-7448

1213 N Main St
Beaver Dam, KY 42320
Phone (270) 274-4771

440 Hopkinsville St
Ste 2E
Greenville, KY 42345
Phone (270) 338-8000

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

2801 New Hartford Rd
Owensboro, KY 42303
Phone (270) 683-3720

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1225038334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-683-3720",
            "fax_number": "270-686-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031320",
            "telephone_number": "270-683-3720",
            "fax_number": "270-686-7331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 7th St",
            "address_purpose": "LOCATION",
            "city": "Tell City",
            "state": "IN",
            "postal_code": "475862202",
            "country_code": "US",
            "telephone_number": "812-547-7448",
            "fax_number": "812-547-6930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 N Main St",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "KY",
            "postal_code": "423208955",
            "country_code": "US",
            "telephone_number": "270-274-4771",
            "fax_number": "270-274-4884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Hopkinsville St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "KY",
            "postal_code": "423451124",
            "country_code": "US",
            "telephone_number": "279-377-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "PHILIP",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01056579A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "37389",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "37389",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01056579A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200386620",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64052632",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdecker5553@direct.owensborohealth.org",
            "affiliation": "Y",
            "affiliationName": "Owensboro Health Medical Group, Inc",
            "address_1": "2801 New Hartford Rd",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423031320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdecker5553@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "440 Hopkinsville St Ste 2E",
            "city": "Greenville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423451124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdecker5553@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1213 N Main St",
            "city": "Beaver Dam",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423208955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdecker5553@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "421 7th St",
            "city": "Tell City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475862202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.