NPIMap

Individual provider Active NPI

John Michael Lamancuso, MD, FACP

  • Internal Medicine Physician
  • Jamestown, NY
National Provider Identifier
1861436719
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
142873-01 Issued in NY
Practice address
15 S Main St
Suite 151
Jamestown, NY 14701-6626
Phone
(716) 483-0113
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 142873-01 NY Primary

Addresses

Primary practice location

15 S Main St
Suite 151
Jamestown, NY 14701-6626

Mailing address

15 S Main St
Suite 151
Jamestown, NY 14701-6626

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.m.lamancuso@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303001116 NY Practitioner - Internal Medicine 2567418874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians
Chautauqua Ecg SVC IncGroup PAC ID 8426019985, 5 clinicians

Practice addresses (Care Compare)

15 S Main St
Suite 151
Jamestown, NY 14701-6627
Phone (814) 483-0113

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 487-0141

Hospital & facility affiliations

  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Willcare Chha (Buffalo) Home health agency, Buffalo, NY, CCN 337268
  • Chautauqua Hospice and Palliative Care Hospice, Lakewood, NY, CCN 331554
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Warren General Hospital Hospital, Warren, PA, CCN 391319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142873-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Physician Practice PC Internal Medicine CurrentSince Jun 29, 2014 Accepting new patients
Chautauqua Ecg SVC Inc CurrentSince Sep 26, 1991 Accepting new patients
Qpharma Inc PastSince Feb 23, 2025 Accepting new patients
Gerry Homes Inc Past Accepting new patients

Locations

15 S Main St
Ste 300
Jamestown, NY 14701
Phone (716) 488-1877

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

15 S Main St
Ste 150
Jamestown, NY 14701
Phone (716) 483-6700

15 S Main St
Ste 151
Jamestown, NY 14701
Phone (716) 483-0113

Organizations & group practices 4

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1861436719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST",
            "address_2": "SUITE 151",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST",
            "address_2": "SUITE 151",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626",
            "telephone_number": "716-483-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMANCUSO",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-01-25",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "142873-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.m.lamancuso@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.