DR. JOSEPH RICHARD DECAMP MD NPI 1710958996

NPI Information

  • NPI: 1710958996
  • Provider Name: DR. JOSEPH RICHARD DECAMP, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5001 US HIGHWAY 30 W STE D
    FORT WAYNE, IN
    ZIP 46818
  • Phone: (260) 432-1568

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NPI Details

DR. Joseph Richard Decamp, MD is a diagnostic radiology radiology in Fort Wayne, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Joseph Richard Decamp, MD NPI is 1710958996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
ZIP 46818-701
Phone: (260) 432-1568
Fax: (260) 435-7635

The NPI 1710958996 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)

The enumeration date for this NPI number is 1/27/2006 and was last updated on 6/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology01037438INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100318910MEDICAIDINDIANA
2981270IMEDICARE PININDIANA
3E50554MEDICARE UPIN
4MI1209006MEDICARE PINMICHIGAN
51710958996MEDICAIDMICHIGAN
60828920MEDICAIDOHIO
7P00842988MEDICARE PIN
8300016186MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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