Individual provider Active NPI

Jaime Ungo, MD

  • Pulmonary Disease Physician
  • Tupelo, MS
National Provider Identifier
1275599656
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
16034 Issued in MS
Practice address
860 S Madison St
Tupelo, MS 38801-4905
Phone
(662) 377-7150
Fax
(662) 377-7155
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 16034 MS Primary

Addresses

Primary practice location

860 S Madison St
Tupelo, MS 38801-4905

Mailing address

860 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-7150

Other identifiers 1

IdentifierTypeStateIssuer
00119862MedicaidMS

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
I20040630000308 MS Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 7214914092 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Health Services IncGroup PAC ID 8224376561, 33 clinicians
North Mississippi Medical Clinics IncGroup PAC ID 6103736665, 120 clinicians
Tishomingo Health Services, Inc.Group PAC ID 2466354303, 25 clinicians
North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

Practice addresses (Care Compare)

1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 305-8657

1207 Hwy 182 W
Suite E
Starkville, MS 39759-9013
Phone (662) 465-2126

1777 Curtis Dr
Iuka, MS 38852
Phone (662) 443-0968

860 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-7150

Hospital & facility affiliations

  • North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Tishomingo Health Services Inc Hospital, Iuka, MS, CCN 250002
  • North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025
  • Clay County Medical Corporation Hospital, West Point, MS, CCN 250067
  • Webster General Hospital/ Swing Bed Hospital, Eupora, MS, CCN 250020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16034MSMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Inc Current Accepting new patients
Tishomingo Health Services, Inc. CurrentSince Jul 9, 2025 Accepting new patients
North Mississippi Medical Center, Inc. Pulmonary Disease CurrentSince Oct 26, 2015 Accepting new patients
Tishomingo Health Services, Inc. Pulmonary Disease CurrentSince Jul 9, 2025 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Oct 26, 2015 Accepting new patients
Tishomingo Health Services, Inc. Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients
Chickasaw Emergency Group LLC Past Accepting new patients
Southern Health Corp. of Houston, Inc Past Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

26 3rd St
Belmont, MS 38827
Phone (662) 454-4520

830 S Gloster St
Fl 3
Tupelo, MS 38801
Phone (662) 377-7170

4579 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 377-6161

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

860 S Madison St
Tupelo, MS 38801
Phone (662) 377-7150

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: jaimeungo@nmhs.medalliesdirect.net

Organizations & group practices 12

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 6

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1275599656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014905",
            "telephone_number": "662-377-7150",
            "fax_number": "662-377-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014905",
            "telephone_number": "662-377-7150",
            "fax_number": "662-377-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGO",
        "first_name": "JAIME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "16034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119862",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.