TREVOR DECKER DO
NPI 1477313799
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Trevor Decker's NPI number?

The NPI number for Trevor Decker is 1477313799. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Q: What is Trevor Decker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Trevor Decker was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2024PECOS Enrolled

550 UNIVERSITY BLVD RM 641, INDIANAPOLIS, IN 46202(317) 274-8282 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, Apr 2, 2024 (2 updates tracked since 2024).

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About Trevor Decker Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREVOR DECKER DO (NPI 1477313799) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477313799

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTREVOR DECKERCredential: DO

Location Address550 UNIVERSITY BLVD RM 641Indianapolis, IN 46202-5149

Mailing Address550 University Blvd Rm 641Indianapolis, IN 46202-5149 · (317) 274-8282

Phone(317) 274-8282

Sole ProprietorNo

Enumeration DateMarch 21, 2024

Last NPPES UpdateAugust 18, 20252 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1477313799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

550 UNIVERSITY BLVD RM 641, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trevor Decker Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALIKEM MIRIAM AGAMAH

Student in an Organized Health Care Education/Training Program