Individual provider Active NPI

John W Lee, M.D.

  • Pulmonary Disease Physician
  • Shelby TWP, MI
National Provider Identifier
1053336057
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301062138 Issued in MI
Practice address
50505 Schoenherr Rd
Suite 290
Shelby TWP, MI 48315-3140
Phone
(586) 314-0080
Fax
(877) 673-3562
NPI assigned
Jul 12, 2006
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301062138 MI
Pulmonary Disease Physician 207RP1001X 4301062138 MI Primary

Addresses

Primary practice location

50505 Schoenherr Rd
Suite 290
Shelby TWP, MI 48315-3140

Mailing address

50505 Schoenherr Rd
Suite 290
Shelby TWP, MI 48315-3140
Phone (586) 314-0080

Other practice location 1

21000 E 12 Mile Rd Ste 112
St Clr Shores, MI 48081-1156
Phone (586) 314-0080

Other identifiers 3

IdentifierTypeStateIssuer
0E00425OtherMIBLUE CROSS OF MICHIGAN
4210946MedicaidMI
290F349720OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091229000053 MI Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2062552961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Critical Care Associates PCGroup PAC ID 0547250607, 19 clinicians

Practice addresses (Care Compare)

21000 E 12 Mile Rd
Suite 112
Saint Clair Shores, MI 48081-1156
Phone (586) 772-5550

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

50505 Schoenherr Rd
Suite 290
Shelby Township, MI 48315-3140

50505 Schoenherr Rd
Suite 290
Shelby Township, MI 48315-3141
Phone (586) 314-0080

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 2015 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital Pulmonary Disease CurrentSince Jul 1, 2015 Accepting new patients
Pulmonary & Critical Care Associates PC Pulmonary Disease CurrentSince Jul 1, 1999 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

18720 Mack Ave
Ste 100
Grosse Pointe Farms, MI 48236
Phone (586) 314-0080

22201 Moross Rd
Ste 50
Grosse Pointe Woods, MI 48236
Phone (313) 343-7774

50505 Schoenherr Rd
Shelby Township, MI 48315
Phone (586) 314-0090

50505 Schoenherr Rd
Ste 290
Shelby Township, MI 48315
Phone (248) 879-5620

21000 E 12 Mile Rd
Ste 100
St Clr Shores, MI 48081
Phone (313) 343-4370

21000 E 12 Mile Rd
Ste 112
St Clr Shores, MI 48081
Phone (586) 314-0080

25319 Little Mack Ave
St Clr Shores, MI 48081
Phone (586) 447-4000

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBBDA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFJBD
  • Direct secure messaging: jlee58818@direct.hfhs.org
  • Direct secure messaging: john.lee@pcca.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1053336057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 290",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 290",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21000 E 12 Mile Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "St Clr Shores",
            "state": "MI",
            "postal_code": "480811156",
            "country_code": "US",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301062138",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301062138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MICHIGAN",
            "identifier": "0E00425",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4210946",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "290F349720",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

Verify at the official NPI Registry.