Stephen Archacki, MD
Individual provider Active NPI Internal Medicine Physician · Euclid, OH
NPI 1376526053 · NPPES record last updated Mar 30, 2016
Key facts
- NPI
- 1376526053
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35-069237 (OH)
- Practice address
- 34500 Chardon Road
Suite 6
Euclid, OH 44094-3305 - Phone
- (440) 386-4200
- Fax
- (440) 943-4184
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cleveland Clinic
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200
Hospital & facility affiliations
- Elara Caring
- Cleveland Clinic Home Care
- Ohio Living Home Health Greater Cleveland
- Enhanced Rehabilitation Services, Inc
- Hospice of the Western Reserve, Inc
- Cleveland Clinic
- Euclid Hospital
- Hillcrest Hospital
- South Pointe Hospital
- Lake Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060331000590 | OH | Practitioner - Internal Medicine | 1759399785 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-069237 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current |
Accepting new patients | |
| Cleveland Clinic Health System - East Region | Past | Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
99 Northline Cir
Ste 102
Euclid, OH 44119
Phone (216) 312-4295
18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000
5187 Mayfield Rd
Ste 20
Lyndhurst, OH 44124
34500 Chardon Rd
Willoughby Hills, OH 44094
Phone (440) 386-4200
34500 Chardon Rd
Ste 6
Willoughby Hills, OH 44094
Phone (440) 386-2009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-069237 | OH | Yes |
Addresses
Primary practice location
34500 Chardon Road
Suite 6
Euclid, OH 44094-3305
Mailing address
34500 Chardon Road
Suite 6
Euclid, OH 44094-3305
Phone (440) 386-4200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020753 | Medicaid | OH | |
| 000000190386 | Other | OH | ANTHEM |
Other providers in Euclid, OH
- Angel Butler
- Starlene A Angel-Husk
- Angels on Wheelz Transportation LLC
- Ankh Majesty LLC
- Anthony T. Kosoglov, Inc.
- Ardency Personal Care Services
- Artzette Armstrong
- Sherveria Armstrong
- Tina Armstrong
- Crystal Shawnta Arnold
All providers in Euclid, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.