NPIMap

Individual provider Active NPI

Shu Ting Kung, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1053706705
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
52756 Issued in AZ
Practice address
107 N. Greenfield Road
Suite 1
Mesa, AZ 85205
Phone
(480) 741-8041
Fax
(480) 741-8045
NPI assigned
Mar 31, 2015
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 52756 AZ
Internal Medicine Physician 207R00000X 52756 AZ Primary

Addresses

Primary practice location

107 N. Greenfield Road
Suite 1
Mesa, AZ 85205

Mailing address

107 N Greenfield Rd Ste 1
Mesa, AZ 85205-7802
Phone (480) 741-8041

Other practice location 1

9590 E Ironwood Square Dr Ste 125
Scottsdale, AZ 85258-4583
Phone (480) 455-3000

Other names 1

  • Dr. Charlie Kung Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180611002971 AZ Practitioner - Family PracticePractitioner - Internal Medicine 1355654567 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zion Specialty PLLCGroup PAC ID 4880074640, 12 clinicians
Zion Medical Group PLLCGroup PAC ID 1355566464, 34 clinicians

Practice addresses (Care Compare)

107 N Greenfield Rd
Suite 1
Mesa, AZ 85205-7802
Phone (480) 741-8041

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

5652 E Baseline Rd
Mesa, AZ 85206-4713
Phone (480) 567-0350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52756AZMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Medical Group PLLC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
4C Medical Group PLC Internal Medicine Current Accepting new patients
Shukung PLLC Internal Medicine CurrentSince Aug 16, 2023 Accepting new patients
4C Medical Group PLC CurrentSince Jul 16, 2018 Accepting new patients
Emperor Hospice of Arizona, Inc. PastSince Dec 8, 2023 Accepting new patients
Agh Laveen LLC Past Accepting new patients
Encompass Health Rehabilitation Hospital of East Valley, LLC Past Accepting new patients
Haven of Globe, LLC Past Accepting new patients

Locations

1515 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 389-9529

1100 E Monroe St
Globe, AZ 85501
Phone (480) 815-7074

107 N Greenfield Rd
Ste 1
Mesa, AZ 85205
Phone (480) 571-1863

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

433 E 6th St
Mesa, AZ 85203
Phone (480) 427-3000

5652 E Baseline Rd
Mesa, AZ 85206
Phone (480) 477-7112

908 S Power Rd
Mesa, AZ 85206
Phone (480) 741-8041

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

Interoperability endpoints

  • Direct secure messaging: shu.ting.kung.1@29414.direct.athenahealth.com

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
Haven Health GroupGlobe, AZ, CCN 035233 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2023
Feb 1, 2023

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 9

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 9

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1053706705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N GREENFIELD RD STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057802",
            "telephone_number": "480-741-8041",
            "fax_number": "480-741-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N. GREENFIELD ROAD",
            "address_2": "SUITE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85205",
            "telephone_number": "480-741-8041",
            "fax_number": "480-741-8045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9590 E Ironwood Square Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584583",
            "country_code": "US",
            "telephone_number": "480-455-3000",
            "fax_number": "866-819-6115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNG",
        "first_name": "SHU TING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "52756",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "52756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLIE",
            "last_name": "KUNG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.