Active NPI
Ross Michael Ungerleider, MD
- Surgery Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 24721
- Practice address
- 101 Manning Dr
Chapel Hill, NC 27514-4220 - Phone
- (919) 966-3381
- NPI assigned
- Jul 31, 2006
- Last updated
- Apr 12, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD.206716 | LA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 24721 | NC | |
| Surgery Physician | 208600000X | 24721 | NC | Primary |
Addresses
Primary practice location
101 Manning Dr
Chapel Hill, NC 27514-4220
Mailing address
PO Box 344
Winston-Salem, NC 27102-0344
Phone (336) 716-2255
Other practice location 1
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2011
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2891214 | Medicaid | OH | |
| 08636732 | Medicaid | MS | |
| 8984565 | Medicaid | NC | |
| 287956 | Medicaid | OR | |
| 2356941 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rungerleider553117@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.206716 | LA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physician Services, Inc. | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Surgery | Current | Accepting new patients |
Locations
501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060
601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429
625 6th Ave S
St Petersburg, FL 33701
Phone (727) 440-4888
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
Interoperability endpoints
- rungerleider996155@direct.hopkinsmedicine.org
Organizations & group practices 3
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 UNC Faculty Physicians
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Surgery
-
dba All Children's Specialty Physicians
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
-
dba Plastic Reconstructive Surgical Services of South Texas
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1174538672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 344",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271020344",
"telephone_number": "336-716-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "919-966-3381"
}
],
"practiceLocations": [
{
"address_1": "Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271570001",
"country_code": "US",
"telephone_number": "336-716-2011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UNGERLEIDER",
"first_name": "ROSS",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "LA",
"license": "MD.206716",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NC",
"license": "24721",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "24721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2891214",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08636732",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8984565",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287956",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2356941",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rungerleider553117@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "101 Manning Dr",
"city": "Chapel Hill",
"state": "NC",
"country_code": "US",
"postal_code": "275144220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chapel Hill, NC
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- Unc-Chapel Hill
- Kylelyn Jade Underhill, LCMHC-A
- Rachel Christine Ungaro, DDS
- University Internal Medicine at Chapel Hill North Medical Center
- University of NC @ Chapel Hill (TEACCH Division)
- University of Norh Carolina
- University of North Carolina
- University of North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.