NPIMap

Individual provider Active NPI

Paul Wayne Decker, MD

  • Family Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1316033707
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K1178 Issued in TX
Practice address
134 Vision Park Blvd Ste 310
Shenandoah, TX 77384-3032
Phone
(936) 447-9452
Fax
(844) 842-2509
NPI assigned
Oct 5, 2006
Last updated
Jul 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K1178 TX Primary

Addresses

Primary practice location

134 Vision Park Blvd Ste 310
Shenandoah, TX 77384-3032

Mailing address

134 Vision Park Blvd Ste 310
Shenandoah, TX 77384-3032
Phone (936) 447-9452

Other identifiers 1

IdentifierTypeStateIssuer
042298201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000693 TX Practitioner - Family Practice 7719018977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1178TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jun 4, 2018 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Jun 4, 2018 Accepting new patients
Sadler Clinic Association Past Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

134 Vision Park Blvd
Shenandoah, TX 77384

134 Vision Park Blvd
Ste 300
Shenandoah, TX 77384
Phone (281) 296-8500

134 Vision Park Blvd
Ste 310
Shenandoah, TX 77384
Phone (936) 447-9452

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

17521 St Lukes Way
Ste 170
The Woodlands, TX 77384
Phone (281) 265-0100

Interoperability endpoints

  • Direct secure messaging: paul.decker.1@8042.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1316033707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 VISION PARK BLVD STE 310",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843032",
            "telephone_number": "936-447-9452",
            "fax_number": "844-842-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 VISION PARK BLVD STE 310",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843032",
            "telephone_number": "936-447-9452",
            "fax_number": "844-842-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "PAUL",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042298201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.