DR. RODNEY E WILLOUGHBY MD
NPI 1720030216
Pediatrics - Pediatric Infectious Diseases in Milwaukee, WI

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVE, PEDIATRIC INFECTIOUS DISEASES, MILWAUKEE, WI 53226(414) 337-7070(414) 337-7093 Get Directions Write a Review

NPPES record last updated: September 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rodney E Willoughby Md NPPES

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

DR. RODNEY E WILLOUGHBY MD (NPI 1720030216) is an individual pediatric infectious diseases provider in Milwaukee, Wisconsin, licensed in Wisconsin (46350) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1982).

NPPES Registry Identity

NPI1720030216
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameDR. RODNEY E WILLOUGHBYCredential: MD
Location Address9000 W WISCONSIN AVE, PEDIATRIC INFECTIOUS DISEASESMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave, Pediatric Infectious DiseasesMilwaukee, WI 53226-4874 · (414) 337-7070 · Fax (414) 337-7093
Fax(414) 337-7093
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1982
Enumeration DateMay 16, 2006
Last NPPES UpdateSeptember 25, 2014
NPI 1720030216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License Licensed in WI · 46350
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
9000 W WISCONSIN AVE, Milwaukee, WI 53226

Other Identifiers 4

Medicare UPINE30828
Medicare PIN023873601WI
Other000011354KHumana
Medicaid1720030216WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Rodney E Willoughby Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870561814
PECOS Enrollment IDI20040917001061
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodney Willoughby's NPI number?

The NPI number for Rodney Willoughby is 1720030216. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Rodney Willoughby located?

Rodney Willoughby practices at 9000 W Wisconsin Ave Pediatric Infectious Diseases, Milwaukee, WI 53226. The listed phone number is (414) 337-7070.

What is Rodney Willoughby's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Rodney Willoughby enrolled in Medicare?

Yes. Rodney Willoughby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rodney Willoughby accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Rodney Willoughby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rodney Willoughby was last updated on September 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.