Active NPI
Steven Andrew Archibald, M.D.
- Diagnostic Radiology Physician
- Chicago, IL
National Provider Identifier
1083657134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036-104696
- Practice address
- 401 E. Ontario St.
#4601
Chicago, IL 60611-4444 - Phone
- (952) 595-1100
- Fax
- (612) 294-4903
- NPI assigned
- Jun 14, 2006
- Last updated
- Jun 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036-104696 | IL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 35262 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | G87697 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | M9531 | ID | |
| Diagnostic Radiology Physician | 2085R0202X | 01061626A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 4301087103 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 1167 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | TM2006-0017 | NM | |
| Diagnostic Radiology Physician | 2085R0202X | 239553 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 2006-00472 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 25.000057 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | MD428455 | PA |
Addresses
Primary practice location
401 E. Ontario St.
#4601
Chicago, IL 60611-4444
Mailing address
11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239553 | NY | MD | Licensed Practical Nurse |
| 1167 | MN | MD | Naturopath |
| 35262 | AZ | MD | Diagnostic Radiology Physician |
| G87697 | CA | MD | Diagnostic Radiology Physician |
| M9531 | ID | MD | Diagnostic Radiology Physician |
| 036-104696 | IL | MD | Diagnostic Radiology Physician |
| 01061626A | IN | MD | Diagnostic Radiology Physician |
| 4301087103 | MI | MD | Diagnostic Radiology Physician |
| 2006-00472 | NC | MD | Diagnostic Radiology Physician |
| TM2006-0017 | NM | MD | Diagnostic Radiology Physician |
| 25.000057 | OH | MD | Diagnostic Radiology Physician |
| MD428455 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Lafayette Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Lafayette, IN
- NPI 1891840062
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1083657134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN",
"address_2": "SUITE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445347",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E. ONTARIO ST.",
"address_2": "#4601",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114444",
"telephone_number": "952-595-1100",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHIBALD",
"first_name": "STEVEN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036-104696",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "35262",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G87697",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M9531",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01061626A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301087103",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "1167",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "TM2006-0017",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "239553",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2006-00472",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "25.000057",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD428455",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.