Individual provider Active NPI

Jansi Lakshmi Willoughby, M.D.

  • Pulmonary Disease Physician
  • Roseville, MI
National Provider Identifier
1235577669
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301116853 Issued in MI
Practice address
25689 Kelly Rd Ste 100
Roseville, MI 48066-4993
Phone
(586) 445-5995
Fax
(877) 673-3562
NPI assigned
Jun 7, 2013
Sex
Female
Sole proprietor
No

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301116853 MI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4301116853 MI
Pulmonary Disease Physician 207RP1001X 4301116853 MI Primary

Addresses

Primary practice location

25689 Kelly Rd Ste 100
Roseville, MI 48066-4993

Mailing address

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

Other practice location 1

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

Other names 1

  • Jansi Maganti Former name

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
I20200713001949 MI Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6800193913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Wayne State University School of Medicine, 2013
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)

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
Pulmonary & Critical Care Associates PC Pulmonary Disease CurrentSince Sep 1, 2020 Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients

Locations

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

25689 Kelly Rd
Ste 100
Roseville, MI 48066
Phone (586) 445-5995

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFJBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBBDA
  • Direct secure messaging: jmaganti564973@direct.hfhs.org
  • Direct secure messaging: jansi.willoughby@pcca.eclinicaldirectplus.com

Organizations & group practices 2

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 4

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": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1235577669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 290",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153141",
            "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": "25689 KELLY RD STE 100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664993",
            "telephone_number": "586-445-5995",
            "fax_number": "877-673-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50505 Schoenherr Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483153141",
            "country_code": "US",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "JANSI",
        "middle_name": "LAKSHMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "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": "4301116853",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301116853",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301116853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANSI",
            "last_name": "MAGANTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.