Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Walter J Willoughby Jr., MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1376592477

Walter J Willoughby Jr., MD is a Pulmonary Disease in Las Vegas, Nevada. Graduated from Wayne State University School of Medicine in 1975, 51 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
51
Trained at
Wayne State University School of Medicine
Licensed in
NV
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10105 Banburry Cross Dr Ste 355
Las Vegas, NV 89144-6649
Phone: (702) 409-3069
Fax: (702) 473-1869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 4004 (NV)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 4004 (NV)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence 4004 (NV)

Record details

NPI number1376592477
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 8, 2006
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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