Individual provider Active NPI

Aleksandr Archiyan, DO

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1275945156
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101021185 Issued in MI
Practice address
8545 Common Rd
Warren, MI 48093-6772
Phone
(586) 578-0086
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Family Medicine Physician 207Q00000X 5101021185 MI Primary

Addresses

Primary practice location

8545 Common Rd
Warren, MI 48093-6772

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

205 N East Ave
Jackson, MI 49201-1753
Phone (517) 788-4800 ext. 3994

Other practice location 2

205 N East Ave
Jackson, MI 49201-1753
Phone (517) 788-4800 ext. 3994

Other practice location 3

893 E Superior St
Wayland, MI 49348-9178
Phone (616) 252-3400

Other practice location 4

15200 Kercheval Ave
Grosse Pointe Park, MI 48230-1356
Phone (313) 417-6100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aarchiyan2618515@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170919001514 MI Practitioner - Family Practice 7517182660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

29245 Ryan Rd
Suite 300
Warren, MI 48092-4230
Phone (586) 578-0222

3132 Newport Rd
Corewell Health Family Medicine
Newport, MI 48166-6100
Phone (734) 586-9120

8545 Common Rd
Suite 280
Warren, MI 48093-6775
Phone (586) 393-3025

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101021185MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital CurrentSince Sep 1, 2017 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Jul 31, 2021 Accepting new patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Jul 31, 2021 Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

15200 Kercheval Ave
Grosse Pointe Park, MI 48230
Phone (313) 417-6100

3132 Newport Rd
Newport, MI 48166
Phone (734) 586-9120

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

8545 Common Rd
Ste 280
Warren, MI 48093
Phone (586) 393-3025

893 E Superior St
Wayland, MI 49348
Phone (616) 252-3400

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Interoperability endpoints

  • Direct secure messaging: aarchiyan1223549@epic00.shdirect.org
  • Direct secure messaging: aarchiyan49027@direct.metrohealth.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1275945156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8545 COMMON RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936772",
            "telephone_number": "586-578-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011753",
            "country_code": "US",
            "telephone_number": "517-788-4800 x3994",
            "fax_number": "517-817-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011753",
            "country_code": "US",
            "telephone_number": "517-788-4800 x3994",
            "fax_number": "517-817-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "893 E Superior St",
            "address_purpose": "LOCATION",
            "city": "Wayland",
            "state": "MI",
            "postal_code": "493489178",
            "country_code": "US",
            "telephone_number": "616-252-3400",
            "fax_number": "269-792-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15200 Kercheval Ave",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Park",
            "state": "MI",
            "postal_code": "482301356",
            "country_code": "US",
            "telephone_number": "313-417-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHIYAN",
        "first_name": "ALEKSANDR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101021185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aarchiyan2618515@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "8545 Common Rd",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480936772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.