NPIMap

Individual provider Active NPI

Martin Joseph Decker, D.O.

  • Family Medicine Physician
  • Meadville, PA
National Provider Identifier
1831152099
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010482L Issued in PA
Practice address
901 Water St
Meadville, PA 16335-3434
Phone
(814) 337-1144
Fax
(814) 337-0941
NPI assigned
Apr 10, 2006
Last updated
Jun 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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 OS010482L PA Primary

Addresses

Primary practice location

901 Water St
Meadville, PA 16335-3434

Mailing address

901 Water St
Meadville, PA 16335-3434
Phone (814) 337-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101118000887 PA Practitioner - Family Practice 5496941270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Meadville Medical CenterGroup PAC ID 4284535790, shared by 21 NPIs, 139 clinicians
Titusville Area HospitalGroup PAC ID 8022907575, 77 clinicians
Primary Care ServicesGroup PAC ID 0244452258, 32 clinicians

Practice addresses (Care Compare)

1012 Water St
Meadville, PA 16335-3468
Phone (814) 337-2345

640 Alden St
Meadville, PA 16335-2348
Phone (814) 333-7086

901 Water St
Meadville, PA 16335-3434
Phone (814) 333-5711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS010482LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Area Hospital CurrentSince Dec 15, 2023 Accepting new patients
Titusville Area Hospital CurrentSince Dec 15, 2023 Accepting new patients
Primary Care Services Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Titusville Area Hospital Current Accepting new patients
Meadville Physician Services Family Medicine Past Accepting new patients
Titusville Area Hospital Past Accepting new patients

Locations

12387 Conneaut Lake Rd
Conneaut Lake, PA 16316
Phone (814) 373-4298

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

640 Alden St
Meadville, PA 16335
Phone (814) 373-5255

901 Water St
Meadville, PA 16335
Phone (814) 333-5711

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Interoperability endpoints

  • Direct secure messaging: drdecker@dfml-pa.direct.office.nextgen.com
  • Direct secure messaging: mjdeckerdo@directaddress.net

Organizations & group practices 7

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1831152099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WATER ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353434",
            "telephone_number": "814-337-1144",
            "fax_number": "814-337-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WATER ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353434",
            "telephone_number": "814-337-1144",
            "fax_number": "814-337-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "MARTIN",
        "middle_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010482L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.