Individual provider Active NPI

James Alan McPencow, MD

  • Anesthesiology Physician
  • Crown Point, IN
National Provider Identifier
1710929500
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01061558A Issued in IN
Practice address
1201 S Main St
Emergency Department
Crown Point, IN 46307-8481
Phone
(219) 757-6310
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01061558A IN
Anesthesiology Physician 207L00000X 01061558A IN Primary

Addresses

Primary practice location

1201 S Main St
Emergency Department
Crown Point, IN 46307-8481

Mailing address

1201 S Main St
Emergency Department Attn: Marisa
Crown Point, IN 46307-8481
Phone (219) 757-6310

Other identifiers 2

IdentifierTypeStateIssuer
000000531427OtherINANTHEM BCBS INDIANA
200844420MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061204000612 IN Practitioner - AnesthesiologyPractitioner - Emergency Medicine 5193724060 Reassigns benefits to 6 organizations
I20151012000826 IL Practitioner - Anesthesiology 5193724060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stat Anesthesia Specialists LTDGroup PAC ID 8123031473, 21 clinicians
United Surgeons LLCGroup PAC ID 0941260061, 22 clinicians
Jebs Anesthesia Consultants, LLCGroup PAC ID 4486046646, 37 clinicians

Practice addresses (Care Compare)

10220 Wicker Ave
Suite 3
Saint John, IN 46373-8400
Phone (219) 515-6943

4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1414
Phone (574) 231-6800

6712 N Convent St
Bourbonnais, IL 60914-1528
Phone (815) 928-8050

7747 W Jefferson Blvd
Jebs Anesthesia Consultants
Fort Wayne, IN 46804-4135
Phone (260) 434-9104

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Bindal Anesthesiologists, LTD Anesthesiology CurrentSince Feb 10, 2025 Accepting new patients
United Surgeons, LLC Current Accepting new patients
Clinical Colleagues Inc Anesthesiology CurrentSince Feb 16, 2023 Accepting new patients
Clinical Colleagues Inc Anesthesiology CurrentSince Feb 16, 2023 Accepting new patients
Lakeshore Anesthesia, P.C. Anesthesiology CurrentSince May 4, 2013 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Jebs Anesthesia Consultants, LLC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Polykarpos Anesthesia LLC Anesthesiology Past Accepting new patients

Locations

6712 N Convent St
Bourbonnais, IL 60914
Phone (815) 348-9500

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131

7747 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-9104

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

1601 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 453-5696

315 W 89th Ave
Merrillville, IN 46410
Phone (219) 712-0821

3930 Edison Lakes Pkwy
Ste 100
Mishawaka, IN 46545

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

4455 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 231-6134

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

8840 Calumet Ave
Ste 104
Munster, IN 46321
Phone (219) 513-9582

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

541 Otis Bowen Dr
Munster, IN 46321

211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331

Organizations & group practices 11

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 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1710929500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "address_2": "EMERGENCY DEPARTMENT ATTN: MARISA",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078481",
            "telephone_number": "219-757-6310",
            "fax_number": "219-681-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078481",
            "telephone_number": "219-757-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPENCOW",
        "first_name": "JAMES",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01061558A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01061558A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS INDIANA",
            "identifier": "000000531427",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200844420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.