Active NPI
Aleksandr Archiyan, DO
- Family Medicine Physician
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101021185
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital, Troy
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101021185 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Hospital | Current | Accepting new patients | |
| Oakwood Ambulatory, LLC | Current | Accepting new patients | |
| Oakwood Ambulatory LLC | Family Medicine | Current | 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
- aarchiyan1223549@epic00.shdirect.org
- 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.
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
- Podiatrist
- Westland, MI
- NPI 1013157361
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.
- 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.