Individual provider Active NPI

Norman Matthew Decker, M.D.

  • Internal Medicine Physician
  • Glen Ellyn, IL
National Provider Identifier
1336534650
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036149373 Issued in IL
Practice address
430 Pennsylvania Ave Ste 310
Glen Ellyn, IL 60137-4464
Phone
(630) 790-1792
Fax
(630) 545-7568
NPI assigned
Apr 2, 2015
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036149373 IL
Internal Medicine Physician 207R00000X 036149373 IL Primary

Addresses

Primary practice location

430 Pennsylvania Ave Ste 310
Glen Ellyn, IL 60137-4464

Mailing address

Pob PO Box 713260
Chicago, IL 60677-0018
Phone (630) 469-9200

Other practice location 1

25 N Winfield Rd Ste 400
Winfield, IL 60190-1222
Phone (630) 456-7178

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mdecker197897@dulyhealthandcare.direct-ci.com
Direct Messaging Address mdecker197897@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190730001630 IL Practitioner - Internal MedicinePractitioner - Hospitalist 9739480369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

25 N Winfield Rd
Suite 400
Winfield, IL 60190-1222
Phone (630) 790-1872

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Sep 9, 2019 Accepting new patients
Dupage Medical Group LTD CurrentSince Sep 9, 2019 Accepting new patients
Wheaton Internal Medicine, LTD. Internal Medicine PastSince Jul 28, 2024 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

430 Pennsylvania Ave
Ste 310
Glen Ellyn, IL 60137
Phone (630) 790-1792

25 N Winfield Rd
Ste 400
Winfield, IL 60190
Phone (630) 456-7178

Interoperability endpoints

  • Direct secure messaging: mdecker197897@dulyhealthandcare.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1336534650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770018",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PENNSYLVANIA AVE STE 310",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374464",
            "telephone_number": "630-790-1792",
            "fax_number": "630-545-7568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N Winfield Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901222",
            "country_code": "US",
            "telephone_number": "630-456-7178",
            "fax_number": "630-456-7486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "NORMAN",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036149373",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036149373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdecker197897@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "25 N Winfield Rd Ste 400",
            "city": "Winfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601901222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdecker197897@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "430 Pennsylvania Ave Ste 310",
            "city": "Glen Ellyn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601374464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.