Individual provider Active NPI

Joshua Robert Decker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grand Rapids, MI
National Provider Identifier
1639341365
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002241 Issued in MI
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OM71140OtherMIMEDICARE ID - TYPE UNSPECIFIED
1266510001OtherMIADMINISTAR
5494683MedicaidMI
480026386OtherMIRAILROAD MEDICARE
1639341365OtherMIRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090918000311 MI Practitioner - Podiatry 6800942756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.48 of 100Reported as group
Quality
74.96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of West Michigan P L L C Foot & Ankle Surgery CurrentSince Jul 1, 2009 Accepting new patients
Decker Foot & Ankle PLLC Foot & Ankle Surgery CurrentSince Jun 1, 2026 Accepting new patients
Foot & Ankle Specialists of West Michigan P L L C Foot & Ankle Surgery CurrentSince Jul 1, 2009 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.