Individual provider Active NPI

Herbert Michael Archer, M.D.

  • Internal Medicine Physician
  • Greenwich, CT
National Provider Identifier
1205028560
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
46754 Issued in CT
Practice address
644 W Putnam Ave Ste 203
Greenwich, CT 06830-6088
Phone
(203) 661-2596
Fax
(833) 941-0867
NPI assigned
Aug 10, 2007
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 46754 CT Primary
Internal Medicine Physician 207R00000X 243843 NY

Addresses

Primary practice location

644 W Putnam Ave Ste 203
Greenwich, CT 06830-6088

Mailing address

644 W Putnam Ave Ste 203
Greenwich, CT 06830-6088
Phone (203) 661-2596

Other practice location 1

5 Perryridge Rd
Greenwich Hospital
Greenwich, CT 06830-4608
Phone (203) 863-3874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.9 of 100Reported as group
Quality
85.63
Promoting interoperability
100
Improvement activities
20
Cost
74.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46754CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Shore Gastroenterology Associates PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: herbert.archer.1@28835.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1205028560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 W PUTNAM AVE STE 203",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306088",
            "telephone_number": "203-661-2596",
            "fax_number": "833-941-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 W PUTNAM AVE STE 203",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306088",
            "telephone_number": "203-661-2596",
            "fax_number": "833-941-0867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Perryridge Rd",
            "address_2": "Greenwich Hospital",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068304608",
            "country_code": "US",
            "telephone_number": "203-863-3874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "HERBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "46754",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "243843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.