Individual provider Active NPI

Oliver P Archibald, MD

  • Hospitalist Physician
  • Baldwin, NY
National Provider Identifier
1174508105
Registry record updated Nov 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
289251 Issued in NY
Practice address
2807 Grand Ave
Baldwin, NY 11510-4033
Phone
(865) 207-8238
NPI assigned
Dec 13, 2005
Last updated
Nov 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 44390 TN
Internal Medicine Physician 207R00000X ME75799 FL
Hospitalist Physician 208M00000X 289251 NY Primary

Addresses

Primary practice location

2807 Grand Ave
Baldwin, NY 11510-4033

Mailing address

2807 Grand Ave
Baldwin, NY 11510-4033
Phone (865) 207-8238

Other practice location 1

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550

Other practice location 2

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300

Other practice location 3

600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3221

Other practice location 4

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37909-2604
Phone (865) 584-4747

Other identifiers 4

IdentifierTypeStateIssuer
44725OtherFLBSFL
59068423OtherFLBSAL
7558225OtherFLAETNA
255856400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NH, NY, ME, IL, WA6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20090224000651 TN Practitioner - Internal MedicinePractitioner - Emergency Medicine 8022197169 Reassigns benefits to 5 organizations
I20170112001911 NH Practitioner - Internal Medicine 8022197169 Reassigns benefits to 2 organizations
I20181010001591 NY Practitioner - Internal Medicine 8022197169 Reassigns benefits to 4 organizations
I20201019002903 ME Practitioner - Internal Medicine 8022197169 Reassigns benefits to 2 organizations
I20250528003462 IL Practitioner - Hospitalist 8022197169 Reassigns benefits to 2 organizations
I20260528003321 WA Practitioner - Internal Medicine 8022197169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Maine LLCGroup PAC ID 1759621469, 34 clinicians
Maine Medical Services LLCGroup PAC ID 3375884216, 16 clinicians
Hospitalist Physicians of New Hampshire PCGroup PAC ID 7719397835, 6 clinicians
Northwest Hospital Medicine Physicians LLCGroup PAC ID 6406805449, 67 clinicians

Practice addresses (Care Compare)

200 Kennedy Memorial Dr
Waterville, ME 04901-4526
Phone (207) 861-3000

240 S Main St
Wolfeboro, NH 03894-4411
Phone (603) 569-7500

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

57 Water St
Blue Hill, ME 04614-5231
Phone (207) 374-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44390TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Internal Medicine CurrentSince Sep 17, 2018 Accepting new patients
Maine Medical Services LLC Internal Medicine CurrentSince May 7, 2020 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Jun 28, 2025 Accepting new patients
Maury Regional Medical Group, Inc Internal Medicine CurrentSince Oct 14, 2017 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Hospitalist CurrentSince Jun 28, 2025 Accepting new patients
App of Tennessee HM, PLLC Emergency Medicine CurrentSince Feb 5, 2020 Accepting new patients
Deaconess Illinois Red Bud Regional Hospital Inc CurrentSince May 13, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 6, 2016 Accepting new patients
St. Peter's Hospital of the City of Albany Internal Medicine CurrentSince Sep 17, 2018 Accepting new patients
St. Peter's Hospital of the City of Albany Internal Medicine CurrentSince Sep 17, 2018 Accepting new patients
Hospital Medicine Services of Maine LLC Hospitalist CurrentSince May 7, 2020 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Oct 14, 2017 Accepting new patients
Deaconess Illinois Red Bud Regional Hospital Inc Internal Medicine CurrentSince May 13, 2025 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Feb 25, 2009 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Feb 25, 2009 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jun 1, 2020 Accepting new patients
Hospitalist Physicians of New Hampshire PC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jun 1, 2020 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Sep 25, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Internal Medicine Current Accepting new patients
West Florida Regional Medical Center Internal Medicine Past Accepting new patients
Concord Hospital, Inc. Emergency Medicine Past Accepting new patients
Maine Coast Regional Health Facilities Past Accepting new patients

Locations

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

325 Spring St
Redbud, IL 62278
Phone (618) 282-5165

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

1080 N Ellington Pkwy
Lewisburg, TN 37091
Phone (615) 359-6241

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: oarchiba@yourcarecommunity.org

Organizations & group practices 25

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.

View all 25

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1174508105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104033",
            "telephone_number": "865-207-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104033",
            "telephone_number": "865-207-8238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1550",
            "fax_number": "518-525-6545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3300",
            "fax_number": "518-271-3440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041004",
            "country_code": "US",
            "telephone_number": "518-471-3221",
            "fax_number": "518-471-4912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 E Weisgarber Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379092604",
            "country_code": "US",
            "telephone_number": "865-584-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "OLIVER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "44390",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75799",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "289251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSFL",
            "identifier": "44725",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSAL",
            "identifier": "59068423",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7558225",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255856400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.