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Deactivated NPI 1861019135 Deactivated / Inactive NPI Male Practitioner

Dr. Dimitri Philippe Archer German , MD

Internal Medicine • Providence, RI

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dimitri Archer German has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 02, 2020
NPI Deactivation Date January 17, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Dimitri Archer German, MD was a registered Internal Medicine practicing in Providence, RI. Throughout an active medical career spanning 5 years, Dr. Archer German provided care at the practice location at 164 SUMMIT AVE until profile deactivation on 2022-01-17.

Dr. Archer German maintained professional affiliations with Lifespan Physician Group Inc, Hospitalist Physicians Of Massachusetts Pc, Massachusetts Acute Care Specialists Pc and accepted Medicare assignment.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

164 Summit Ave

Providence, RI 029062853

Telephone 4017934489
Associated Practice Facility / Clinic
🏢 The Miriam Hospital Facility NPI 1487649430

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Providence, RI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -8.8 yrs vs City Avg
City Avg: 17.8 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
523 Specialists

Practicing in Providence, RI (1079 Statewide)

Telehealth Adoption Rate
9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Archer German (9 Years) 9 Yrs
Providence Specialty Average (17.8 Years) 17.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
54 21 $300.00 $117.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
39 17 $226.00 $78.16
99239 Hospital discharge day management, more than 30 minutes
14 14 $289.00 $113.79

Medical Specialties & State Licenses

CMS Verified: 2024-04-26
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD19784

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Hospitalist Physicians Of Massachusetts Pc

115 Lincoln St, Framingham, MA 017026358

Phone: 5083831000

Massachusetts Acute Care Specialists Pc

585 Lebanon St, Melrose, MA 021763225

Phone: 7819793000

Lifespan Physician Group Inc

164 Summit Ave, Providence, RI 029062853

Phone: 4017934102

Secondary Practice Locations

2201 Hempstead Turnpike

East Meadow, NY 11554

Phone: 5165725285

760 Broadway

Brooklyn, NY 112065317

Phone: 7189638000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Dr. Karl Herman , MD

Internal Medicine

NPI 1003253063

Doctor of Medicine (M.D.)

Dr. Muhammad Baig , MD

Internal Medicine - Cardiovascular Disease

NPI 1003256587

Doctor of Medicine (M.D.)

Dr. Aaron Wheeler , MD

Internal Medicine

NPI 1104278472

Doctor of Medicine (M.D.)

Dr. Atin Jindal , MD

Internal Medicine

NPI 1124574918

Doctor of Medicine (M.D.)

Dr. Denise Fernandes , MD

Internal Medicine

NPI 1164837936

Doctor of Medicine (M.D.)

NPI 1235813379

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location April 26, 2024

Registered at 164 SUMMIT AVE, PROVIDENCE, RI 029062853 (Tel: 4017934489)

📍
Updated Business Mailing Address April 26, 2024

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541 (Tel: 4014446779)

📍
Updated Practice Location January 03, 2024

Registered at 760 BROADWAY, BROOKLYN, NY 112065317 (Tel: 7189638000)

📍
Updated Business Mailing Address January 03, 2024

Registered at 2010 SEAGIRT BLVD APT 2C, FAR ROCKAWAY, NY 116912823 (Tel: 9295233846)

📍
Updated Practice Location August 15, 2023

Registered at 2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554 (Tel: 5165725285)

📍
Updated Business Mailing Address August 15, 2023

Registered at 20 ADELINE PLACE, VALLEY STREAM, NY 11581 (Tel: 5168373639)

👤
Provider Name / Credentials Updated August 15, 2023

Recorded as DIMITRI ARCHER GERMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2023

Student in an Organized Health Care Education/Training Program

⚠️
NPI Profile Deactivated January 17, 2022

Record deactivated on January 17, 2022

NPI Profile Active July 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2020

Registered at 2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554 (Tel: 5165725285)

📍
Updated Business Mailing Address July 07, 2020

Registered at 20 ADELINE PLACE, VALLEY STREAM, NY 11581 (Tel: 5168373639)

👤
Provider Name / Credentials Updated July 07, 2020

Recorded as DIMITRI ARCHER GERMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 02, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861019135
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2020
Last Update: April 26, 2024
Deactivation Date: January 17, 2022
Sole Proprietor: No

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

Phone: 4014446779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.