Individual provider Active NPI

Adelo E Aquino, MD

  • Family Medicine Physician
  • Ruleville, MS
National Provider Identifier
1265545875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
08983 Issued in MS
Practice address
601 N Oak Ave
Ruleville, MS 38771-3627
Phone
(662) 756-2747
Fax
(662) 756-2478
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 08983 MS Primary

Addresses

Primary practice location

601 N Oak Ave
Ruleville, MS 38771-3627

Mailing address

PO Box 506
Ruleville, MS 38771-0506
Phone (662) 756-2747

Other identifiers 1

IdentifierTypeStateIssuer
00019319MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000804 MS Practitioner - Family Practice 0840489886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Sunflower Medical CenterGroup PAC ID 7618932294, 46 clinicians

Practice addresses (Care Compare)

202 S Ruby Ave
Ruleville, MS 38771-3227
Phone (662) 756-2500

840 N Oak Ave
Ruleville, MS 38771-3227

860 N Oak Ave
Ruleville, MS 38771-3227

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Sunflower Medical Center CurrentSince Oct 20, 1989 Accepting new patients
North Sunflower Medical Center Current Accepting new patients
North Sunflower Medical Center Family Medicine Current Accepting new patients

Locations

840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711

Interoperability endpoints

  • Direct secure messaging: adeloaquino@nsfmc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shepherd Hospice LLCNew Albany, MS, CCN 251709 Hospice W-2 Managing Employee Jan 15, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 2

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265545875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "RULEVILLE",
            "state": "MS",
            "postal_code": "387710506",
            "telephone_number": "662-756-2747",
            "fax_number": "662-756-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N OAK AVE",
            "city": "RULEVILLE",
            "state": "MS",
            "postal_code": "387713627",
            "telephone_number": "662-756-2747",
            "fax_number": "662-756-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "ADELO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "08983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00019319",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruleville, MS

Sources for this page

Verify at the official NPI Registry.