Active NPI
Jaime Ungo, MD
- Pulmonary Disease Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 16034
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00119862 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- North Mississippi Medical Center
- Tishomingo Health Services Inc
- North Mississippi Medical Center-Gilmore Amory
- Clay County Medical Corporation
- Webster General Hospital/ Swing Bed
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16034 | MS | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| Tishomingo Health Services, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center, Inc. | Pulmonary Disease | Current | Accepting new patients |
| Tishomingo Health Services, Inc. | Pulmonary Disease | Current | Accepting new patients |
| North Mississippi Medcial Center, Inc. | Current | 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
- 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.
-
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
- General Acute Care Hospital
- Iuka, MS
- NPI 1548376700
-
- Cardiovascular Disease Physician
- Amory, MS
- NPI 1225605942
-
- Internal Medicine Physician
- Tupelo, MS
- NPI 1053469486
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Pulmonary Disease Physician
- Tupelo, MS
- NPI 1881064517
-
- Clinic/Center
- Belmont, MS
- NPI 1295105922
-
- Pulmonary Disease Physician
- Iuka, MS
- NPI 1659254639
-
- Surgery Physician
- Amory, MS
- NPI 1821441080
-
- Medical Physician Assistant
- Houston, MS
- NPI 1134215478
-
- Rural Health Clinic/Center
- Houston, MS
- NPI 1083721732
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Point, MS
- NPI 1639284409
-
- General Acute Care Hospital
- Amory, MS
- NPI 1164993457
-
- Home Health Agency
- Tupelo, MS
- NPI 1003871344
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
-
- General Acute Care Hospital
- Iuka, MS
- NPI 1548376700
-
- General Acute Care Hospital
- Eupora, MS
- NPI 1982719621
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
- Alena Bess Tyre-Littlejohn, MD
- Shelley Ann Umfress, CLPN
- Anne Marie Underwood, M.ED.
- Tanya Underwood, NP
- Trest Alan Underwood, DO
- United Methodist Senior Services Health Care, Inc
- Unity Hospice Care, LLC
- Universal Medical Supplies & Rentals Inc
- Urgent Specialty Associates of Mississippi PLLC
- Urgent Specialty Associates of Mississippi PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.