Active NPI
Dimitri Philippe Archer German, M.D.
- Internal Medicine Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD19784
- Practice address
- 164 Summit Ave
Providence, RI 02906-2853 - Phone
- (401) 793-4489
- NPI assigned
- Jul 2, 2020
- Reactivated
- Aug 15, 2023
- Last updated
- Apr 26, 2024
- 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 | NU | ||
| Internal Medicine Physician | 207R00000X | MD19784 | RI | Primary |
Addresses
Primary practice location
164 Summit Ave
Providence, RI 02906-2853
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Other practice location 1
2201 Hempstead Turnpike
East Meadow, NY 11554
Phone (516) 572-5285
Other practice location 2
760 Broadway
Brooklyn, NY 11206-5317
Phone (718) 963-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-1000
164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4102
585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Acute Care Specialists PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Physicians of Massachusetts PC | Internal Medicine | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| VHS Acquisition Subsidiary Number 7 Inc | Past | Accepting new patients | |
| VHS Acquisition Subsidiary Number 9 Inc | Past | Accepting new patients |
Locations
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
Interoperability endpoints
- darchergerman225044@brownhealth.medalliesdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Hospitalist Physician
- Framingham, MA
- NPI 1376145680
Internal Medicine
-
- Internal Medicine Physician
- Melrose, MA
- NPI 1306134812
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
-
dba MetroWest Medical Center
- General Acute Care Hospital
- Framingham, MA
- NPI 1740252592
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
-
dba MetroWest Medical Center
- General Acute Care Hospital
- Framingham, MA
- NPI 1740252592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1861019135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 SUMMIT AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062853",
"telephone_number": "401-793-4489"
}
],
"practiceLocations": [
{
"address_1": "2201 Hempstead Turnpike",
"address_purpose": "LOCATION",
"city": "East Meadow",
"state": "NY",
"postal_code": "11554",
"country_code": "US",
"telephone_number": "516-572-5285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "760 Broadway",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112065317",
"country_code": "US",
"telephone_number": "718-963-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARCHER GERMAN",
"first_name": "DIMITRI",
"middle_name": "PHILIPPE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-02",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"deactivation_date": "2022-01-17",
"reactivation_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD19784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.