NPIMap

Individual provider Active NPI

James Edward McKendree Jr., MD

  • Family Medicine Physician
  • Johnstown, PA
National Provider Identifier
1992700504
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD420002 Issued in PA
Practice address
1013 Menoher Blvd
Johnstown, PA 15905-2544
Phone
(814) 254-4885
Fax
(814) 254-4533
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD420002 PA Primary

Addresses

Primary practice location

1013 Menoher Blvd
Johnstown, PA 15905-2544

Mailing address

1013 Menoher Blvd
Johnstown, PA 15905-2544
Phone (814) 254-4885

Other identifiers 1

IdentifierTypeStateIssuer
0019195700003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100913000962 PA Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 9234254327 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, General Practice
Education
Temple University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Care Providers LLCGroup PAC ID 3678803913, 5 clinicians
Lifeline Medical CenterGroup PAC ID 3678948577, 22 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

100 Hostetler Rd
Johnstown, PA 15904-3111
Phone (814) 240-3432

1013 Menoher Blvd
Johnstown, PA 15905-2544
Phone (814) 254-4885

1415 Eisenhower Blvd
Suite B
Johnstown, PA 15904-3217
Phone (814) 408-0014

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

517 Georgian PL
Somerset, PA 15501-1613
Phone (814) 419-5144

88 Osborne St
Johnstown, PA 15905-4146
Phone (814) 299-4675

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420002PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Care Providers LLC Family Medicine CurrentSince Oct 15, 2019 Accepting new patients
Lifeline Medical Center Family Medicine CurrentSince Oct 17, 2024 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Mar 1, 2012 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Medexpress Urgent Care, PC - Monaca Past Accepting new patients

Locations

1415 Eisenhower Blvd
Johnstown, PA 15904
Phone (814) 269-3627

1415 Eisenhower Blvd
#B
Johnstown, PA 15904
Phone (814) 266-1616

1013 Menoher Blvd
Johnstown, PA 15905
Phone (814) 254-4885

100 Hostetler Rd
Johnstown, PA 15904
Phone (814) 240-3432

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Interoperability endpoints

  • Direct secure messaging: james.mckendree@primecare.medentdirect.com
  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 12

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1992700504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 MENOHER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052544",
            "telephone_number": "814-254-4885",
            "fax_number": "814-254-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 MENOHER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052544",
            "telephone_number": "814-254-4885",
            "fax_number": "814-254-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENDREE",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD420002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019195700003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.