Shu Ting Kung, M.D.
Individual provider Active NPI Internal Medicine Physician · Mesa, AZ
NPI 1053706705 · NPPES record last updated Aug 6, 2026
Key facts
- NPI
- 1053706705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 52756 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- 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 PLLC
Zion Medical Group PLLC
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
- Emblem Home Health
- Sweetheart Healthcare LLC
- Hospice at Home of Arizona, LLC
- Westcare Hospice & Palliative Care LLC
- Hospice of the West
- Cobre Valley Regional Medical Center
- Encompass Health Rehabilitation Hospital of East V
- Haven of Globe
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Haven Health Group |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Feb 1, 2023 Feb 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180611002971 | AZ | Practitioner - Family Practice |
1355654567 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4C Medical Group PLC | Internal Medicine | Current | Accepting new patients |
| 4C Medical Group PLC | Current |
Accepting new patients | |
| Shukung PLLC | Internal Medicine | Current |
Accepting new patients |
| Zion Medical Group PLLC | Internal Medicine | Current |
Accepting new patients |
| Emperor Hospice of Arizona, Inc. | Past |
Accepting new patients | |
| Haven of Globe, LLC | Past | Accepting new patients | |
| Agh Laveen LLC | Past | Accepting new patients | |
| Encompass Health Rehabilitation Hospital of East Valley, 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
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
433 E 6th St
Mesa, AZ 85203
Phone (480) 427-3000
107 N Greenfield Rd
Ste 1
Mesa, AZ 85205
Phone (480) 571-1863
908 S Power Rd
Mesa, AZ 85206
Phone (480) 741-8041
5652 E Baseline Rd
Mesa, AZ 85206
Phone (480) 477-7112
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
Interoperability endpoints
- shu.ting.kung.1@29414.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 52756 | AZ | |
| Internal Medicine Physician | 207R00000X | 52756 | AZ | Yes |
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
- Dr. Charlie Kung
Other providers in Mesa, AZ
- Olivia Kuna
- Emma Kunda
- Marisa Kunde
- Thomas Kunelis
- Shelley Kunert
- Derek Y. Kunimoto
- Michael Kunkel
- Preethy Jacob Kunthara
- Frank Kuntz
- Brittany Kunz
All providers in Mesa, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.