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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DECKER DERMATOLOGY PLLC
NPI 1578369997
Dermatology - MOHS-Micrographic Surgery in Grosse Pointe Park, MI

Active since February 25, 2025CLIA 23D2327422 · Certificate of Compliance
16835 KERCHEVAL AVE, GROSSE POINTE PARK, MI 48230(269) 420-9404(313) 499-8955 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 20, 2026, Nov 19, 2025, Feb 25, 2025 (3 updates tracked since 2025).

About Decker Dermatology Pllc NPPES

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

DECKER DERMATOLOGY PLLC (NPI 1578369997) is a healthcare organization registered as a mohs-micrographic surgery in Grosse Pointe Park, Michigan and active in the NPI registry since February 2025. The organization holds a CLIA Certificate of Compliance certificate valid through November 9, 2027 and lists Morgan Ellis Decker, Physician, as its authorized official.

NPPES Registry Identity

NPI1578369997
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDECKER DERMATOLOGY PLLC
Location Address16835 KERCHEVAL AVEGrosse Pointe Park, MI 48230-1532
Mailing Address16835 Kercheval AveGrosse Pointe Park, MI 48230-1532 · (313) 720-8299 · Fax (313) 499-8955
Phone(269) 420-9404
Fax(313) 499-8955
Organization SubpartNo
Authorized OfficialMorgan Ellis DeckerPhysician · (313) 720-8299
Enumeration DateFebruary 25, 2025
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1578369997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
16835 KERCHEVAL AVE, Grosse Pointe Park, MI 48230
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 23D2327422

Decker Dermatology & Mohs Surgery · Grosse Pointe, MI
Active · expires Nov 9, 2027
CLIA Number23D2327422
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorMorgan E. Decker
Laboratory Phone(313) 777-7546
Laboratory LocationDecker Dermatology & Mohs Surgery16835 Kercheval Ave, Grosse Pointe, MI 48230
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

DR. MORGAN ELLIS DECKER MD
Dermatology
16835 KERCHEVAL AVE
GROSSE POINTE PARK, MI 48230
Wayne County (313) 777-7546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Decker Dermatology PLLC's NPI number?

The NPI number for Decker Dermatology PLLC is 1578369997. It was assigned to this organization in the NPPES registry on February 25, 2025.

Where is Decker Dermatology PLLC located?

Decker Dermatology PLLC is located at 16835 Kercheval Ave, Grosse Pointe Park, MI 48230. The listed phone number is (269) 420-9404.

What is Decker Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Decker Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D2327422) is associated with this NPI, valid through November 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Decker Dermatology PLLC was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.