Individual provider Active NPI

John Patrick Willoughby, M.D.

  • Pulmonary Disease Physician
  • Shelby TWP, MI
National Provider Identifier
1962847533
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301116987 Issued in MI
Practice address
50505 Schoenherr Rd Ste 290
Shelby TWP, MI 48315-3141
Phone
(586) 314-0080
Fax
(877) 673-3562
NPI assigned
May 8, 2013
Sex
Male
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301116987 MI Primary

Addresses

Primary practice location

50505 Schoenherr Rd Ste 290
Shelby TWP, MI 48315-3141

Mailing address

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

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
I20190517002048 MI Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 5395985816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Michigan State University College of Human 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

  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

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 Jul 1, 2019 Accepting new patients

Locations

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

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

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

Interoperability endpoints

  • Direct secure messaging: john.willoughby@pcca.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFJBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBBDA
  • Direct secure messaging: jwilloughby600438@direct.hfhs.org

Organizations & group practices 1

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 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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1962847533",
    "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": "50505 SCHOENHERR RD STE 290",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-314-0080",
            "fax_number": "877-673-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301116987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

Verify at the official NPI Registry.