Active NPI
Herbert Michael Archer, M.D.
- Internal Medicine Physician
- Greenwich, CT
National Provider Identifier
1205028560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 46754
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.9 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 46754 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Shore Gastroenterology Associates PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Gastroenterology Physician
- Rye Brook, NY
- NPI 1114951126
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.