Richard Dwayne Archuleta, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4301086457 Issued in MI

Practice address

2114 State Route 113 E
ZZZ Anesthesia
Milan, OH 44846-9483

Phone

(419) 499-4500

NPI assigned

Sep 30, 2005

Last updated

Oct 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rarchuleta263300@direct.uvmhealth.org

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.

• Champlain Valley Physicians Hospital Medical Center

  • Internal Medicine Physician
  • Plattsburgh, NY
  • NPI 1124189782

  Anesthesiology

  NPD
• ZZZ Anesthesia, Inc

  • Anesthesiology Physician
  • Norwalk, OH
  • NPI 1396780771
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1427045889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 STATE ROUTE 113 E",
            "address_2": "ZZZ ANESTHESIA",
            "city": "MILAN",
            "state": "OH",
            "postal_code": "448469483",
            "telephone_number": "419-499-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 STATE ROUTE 113 E",
            "address_2": "ZZZ ANESTHESIA",
            "city": "MILAN",
            "state": "OH",
            "postal_code": "448469483",
            "telephone_number": "419-499-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHULETA",
        "first_name": "RICHARD",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301086457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104758286",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Arvizu, MA, BCBA, COBA
• Kimberly Sue Barman, CDCA II
• Bright Ideas Speech Therapy LLC
• Nathan Emmett Chambers, LPCC
• Sara Dolores Chartrant, LPN

• Anesthesiology Physician in Milan, OH
• Providers in Milan, OH by specialty
• Anesthesiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.