Individual provider Active NPI

Hunter Davis Archibald, MD

  • Facial Plastic Surgery Physician
  • Worcester, MA
National Provider Identifier
1629531801
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
1024032 Issued in MA
Practice address
55 Lake Avenue North
Worcester, MA 01655-0002
Phone
(508) 334-4161
Fax
(508) 334-3518
NPI assigned
Apr 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 1024032 MA
Otolaryngology Physician 207Y00000X 01093424A IN
Facial Plastic Surgery Physician 207YS0123X 01093424A IN
Facial Plastic Surgery Physician 207YS0123X 1024032 MA Primary

Addresses

Primary practice location

55 Lake Avenue North
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Worcester, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

355 W 16th St Ste 3000
Indianapolis, IN 46202-2207
Phone (317) 944-6467

Other practice location 2

308 Main St
Milford, MA 01757-2511
Phone (508) 478-0555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address harchibald@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250626002130 MA Practitioner - Otolaryngology 7618304593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

308 Main St
Milford, MA 01757-2511
Phone (508) 478-0555

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1024032MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Regional Physician Group, Inc. Current Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Aug 4, 2025 Accepting new patients
Umass Memorial Medical Group Inc Otolaryngology CurrentSince Jul 1, 2025 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Aug 4, 2025 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
University Otolaryngology Associates, Inc. Otolaryngology CurrentSince Jul 1, 2024 Accepting new patients

Locations

7631 Solutions Ctr
Chicago, IL 60677

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

355 W 16th St
Ste 3000
Indianapolis, IN 46202
Phone (317) 963-7082

355 W 16th St
Indianapolis, IN 46202
Phone (317) 963-7070

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

308 Main St
Milford, MA 01757
Phone (508) 478-0555

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: archibald.hunter.mrmc@direct.partners.masshiway.net
  • Direct secure messaging: harchibald@direct.iuhealth.org

Organizations & group practices 7

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 2

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": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1629531801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVENUE NORTH",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-4161",
            "fax_number": "508-334-3518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 W 16th St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022207",
            "country_code": "US",
            "telephone_number": "317-944-6467",
            "fax_number": "317-963-7085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Main St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "017572511",
            "country_code": "US",
            "telephone_number": "508-478-0555",
            "fax_number": "508-473-5088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "HUNTER",
        "middle_name": "DAVIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-13",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "1024032",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01093424A",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "IN",
            "license": "01093424A",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MA",
            "license": "1024032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "harchibald@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "355 W 16th St Ste 3000",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462022207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.