Active NPI
Philip Anthony Decker, MD
- Surgery Physician
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 37389
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200386620 | Medicaid | IN | |
| 64052632 | Medicaid | KY |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, KY
- 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
- 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 Inc
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 36 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP212 | KY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Surgery | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Surgery | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | 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.
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
IN
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
dba One Health Internal Medicine Greenville
- Internal Medicine Physician
- Greenville, KY
- NPI 1902285935
-
dba Owensboro Health Medical Group - Surgical Specialists
- Surgery Physician
- Owensboro, KY
- NPI 1346582194
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
- Critical Access Hospital
- Tell City, IN
- NPI 1699779017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.