Active NPI
Joshua Robert Decker, DPM
- Foot & Ankle Surgery Podiatrist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901002241
- Practice address
- 3863 Lake Michigan Dr NW Ste 2
Grand Rapids, MI 49534-4502 - Phone
- (616) 307-7456
- Fax
- (616) 453-1725
- NPI assigned
- Apr 2, 2008
- Last updated
- Sep 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901002241 | MI | Primary |
Addresses
Primary practice location
3863 Lake Michigan Dr NW Ste 2
Grand Rapids, MI 49534-4502
Mailing address
3863 Lake Michigan Dr NW Ste 2
Grand Rapids, MI 49534-4502
Phone (616) 307-7456
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OM71140 | Other | MI | MEDICARE ID - TYPE UNSPECIFIED |
| 1266510001 | Other | MI | ADMINISTAR |
| 5494683 | Medicaid | MI | |
| 480026386 | Other | MI | RAILROAD MEDICARE |
| 1639341365 | Other | MI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.48 of 100
- Quality
- 74.96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Specialists of West Michigan P L L C | Foot & Ankle Surgery | Current | Accepting new patients |
| Decker Foot & Ankle PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot & Ankle Specialists of West Michigan P L L C | Foot & Ankle Surgery | Current | Accepting new patients |
| Big Rapids Foot and Ankle PC | Past | Accepting new patients | |
| Big Rapids Foot and Ankle PC | Past | Accepting new patients |
Locations
1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629
103 S State St
Big Rapids, MI 49307
Phone (231) 796-4522
1195 Wilson Ave NW
Ste 200
Grand Rapids, MI 49534
Phone (616) 453-8277
2144 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 281-0666
6785 Myers Lake Ave NE
Ste C
Rockford, MI 49341
Phone (616) 874-8772
Interoperability endpoints
- jdecker@weil.emadirect.md
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.
-
- Primary Podiatric Medicine Podiatrist
- Grand Rapids, MI
- NPI 1154460962
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Carson City, MI
- NPI 1639907165
-
- Podiatrist
- Big Rapids, MI
- NPI 1033150818
-
- Podiatrist
- Norton Shores, MI
- NPI 1285226878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1639341365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3863 LAKE MICHIGAN DR NW STE 2",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495344502",
"telephone_number": "616-307-7456",
"fax_number": "616-453-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3863 LAKE MICHIGAN DR NW STE 2",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495344502",
"telephone_number": "616-307-7456",
"fax_number": "616-453-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "JOSHUA",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-02",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901002241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID - TYPE UNSPECIFIED",
"identifier": "OM71140",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINISTAR",
"identifier": "1266510001",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5494683",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480026386",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "1639341365",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.