Active NPI
James Lebamoff, MD
- Emergency Medicine Physician
- Wabash, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01036569A
- Practice address
- 10 John Kissinger Dr
Wabash, IN 46992-1648 - Phone
- (260) 563-3131
- Fax
- (260) 482-4442
- NPI assigned
- Dec 19, 2005
- Last updated
- Jul 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01036569A | IN | Primary |
Addresses
Primary practice location
10 John Kissinger Dr
Wabash, IN 46992-1648
Mailing address
608 Union Chapel Rd
Fort Wayne, IN 46845-9357
Phone (260) 428-4440
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000191935 | Other | IN | BC/BS |
| 200036420A | Medicaid | IN | |
| 930106017 | Other | IN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.38 of 100
- Quality
- 87.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01036569 | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Wabash Hospital, Inc. | Current | Accepting new patients | |
| Interventional Pain Consultants, LLC | Current | Accepting new patients | |
| Professional Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Community Hospital of Lagrange County Inc | Current | Accepting new patients |
Locations
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000
608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 482-4440
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100
207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300
710 N East St
Wabash, IN 46992
Phone (219) 563-3131
10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195
1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Parkview LaGrange Hospital
- Critical Access Hospital
- Lagrange, IN
- NPI 1679674956
-
dba Parkview Wabash Hospital
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1144215096
-
- Interventional Pain Medicine Physician
- Fort Wayne, IN
- NPI 1164661054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1932185279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 UNION CHAPEL RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468459357",
"telephone_number": "260-428-4440",
"fax_number": "260-482-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 JOHN KISSINGER DR",
"city": "WABASH",
"state": "IN",
"postal_code": "469921648",
"telephone_number": "260-563-3131",
"fax_number": "260-482-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBAMOFF",
"first_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01036569A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000000191935",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200036420A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930106017",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wabash, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.