JOHN D. BUCKLEY M.D.
NPI 1417025941
Internal Medicine - Pulmonary Disease in Detroit, MI

Q: What is John Buckley's NPI number?

The NPI number for John Buckley is 1417025941. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is John Buckley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for John Buckley was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2006PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2733(313) 916-9102 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John D. Buckley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN D. BUCKLEY M.D. (NPI 1417025941) is an individual pulmonary disease provider in Detroit, Michigan, licensed in Michigan (4301070640) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1417025941

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameJOHN D. BUCKLEYCredential: M.D.

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing AddressHenry Ford Hospital, 2799 W Grand BlvdDetroit, MI 48202 · (313) 916-2433 · Fax (313) 916-9102

Phone(313) 916-2733

Fax(313) 916-9102

Sole ProprietorNo

Enumeration DateDecember 1, 2006

Last NPPES UpdateAugust 6, 2020

NPPES CertifiedAugust 6, 2020

✔ NPI 1417025941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in MI · 4301070640✔ Licensed in IN · 01038587A

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01038587A (IN)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 01038587A (IN)

2799 W GRAND BLVD, Detroit, MI 48202

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Secondary Practice Location 1

Location 1Indiana University Department of Medicine, Emerson Hall 317, 545 Barnhill DriveIndianapolis, IN 46202-5112 · Phone (317) 278-5408 · Fax (317) 274-1437

Other Identifiers 1

Medicaid100119740IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John D. Buckley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY FORD HOSPITAL

General Acute Care Hospital