Mark R. Villeneuve, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MI4301051766 Issued in MI

Practice address

14555 Levan Rd
Suite 202
Livonia, MI 48154-5083

Phone

(734) 542-4470

Fax

(734) 542-4475

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St Mary Mercy Hospital Professional

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1528145554
  Medicare reassignment NPD
• St Mary Mercy Hospital

  • General Acute Care Hospital
  • Livonia, MI
  • NPI 1790706901
  NPD
• St Mary Mercy Hospital Crna

  • Certified Registered Nurse Anesthetist
  • Livonia, MI
  • NPI 1063602092
  NPD
• St Mary Mercy Hospital Professional

  • Gastroenterology Physician
  • Ypsilanti, MI
  • NPI 1447953971
  NPD
• Advanced Pulmonary & Sleep Associates PC

  • Pulmonary Disease Physician
  • Dearborn, MI
  • NPI 1487816419
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1023054772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "SUITE 202",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-542-4470",
            "fax_number": "734-542-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "SUITE 202",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-542-4470",
            "fax_number": "734-542-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLENEUVE",
        "first_name": "MARK",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301051766",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301051766",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "MI4301051766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4200387",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.villeneuve.p1@direct.michiganlung.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "14555 Levan Rd",
            "address_2": "Suite 202",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481545083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chirag Vijapura, D.O.
• Vijay C Patel MD PC
• Monica E Villa, LMSW
• Seraiah Sunshine Villafuerte, LMSW
• Orlando L Villegas, PHD LLP LPC
• Angela Marie Vincent, SLP
• Vinita S Sharma MD
• Linda Lynette Vinson
• Virtue Lung Institute PC
• Vision Institute of Michigan PC

• Pulmonary Disease Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.