NPIMap

Individual provider Active NPI

Archibald Ambrose Skemp, M.D.

  • Rheumatology Physician
  • Edina, MN
National Provider Identifier
1386648236
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
32239 Issued in MN
Practice address
7600 France Ave S Ste 5100
Edina, MN 55435
Phone
(952) 893-1959
Fax
(952) 893-1954
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 32239 MN Primary

Addresses

Primary practice location

7600 France Ave S Ste 5100
Edina, MN 55435

Mailing address

7600 France Ave S Ste 5100
Edina, MN 55435-5924
Phone (952) 893-1959

Other identifiers 9

IdentifierTypeStateIssuer
960080460004OtherMNPREFERRED ONE
107073C477OtherMNUCARE
660003157OtherFMRR MEDICARE
3200023OtherMNMEDICA
66Q42SKOtherMNBLUE CROSS BLUE SHIELD
739305900MedicaidMN
HP14410OtherMNHEALTHPARTNERS
24912OtherMNAMERICA'S PPO
411774839A003OtherMNCHAMPUS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address archibald.skemp.p1@direct.arc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000573 MN Practitioner - RheumatologyPractitioner - Internal Medicine 4486553088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Minnesota Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis and Rheumatology Consultants PAGroup PAC ID 3476452194, 12 clinicians

Practice addresses (Care Compare)

7600 France Ave S
Suite 5100
Edina, MN 55435-6026
Phone (952) 893-1959

Hospital & facility affiliations

  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057

Merit-based Incentive Payment System (MIPS)

Final score
97.95 of 100Reported as group
Quality
96.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32239MNMDRheumatology Physician

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 and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1386648236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 5100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355924",
            "telephone_number": "952-893-1959",
            "fax_number": "952-893-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 5100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-893-1959",
            "fax_number": "952-893-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEMP",
        "first_name": "ARCHIBALD",
        "middle_name": "AMBROSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MN",
            "license": "32239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "960080460004",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "107073C477",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "660003157",
            "state": "FM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "3200023",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "66Q42SK",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "739305900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP14410",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "24912",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "411774839A003",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "archibald.skemp.p1@direct.arc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "7600 France Ave S Ste 5100",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.