Individual provider Active NPI

Prineet K Tung, MD

  • Internal Medicine Physician
  • Goodyear, AZ
National Provider Identifier
1285849372
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42736 Issued in AZ
Practice address
14415 W McDowell Rd
Suite D102
Goodyear, AZ 85395-2521
Phone
(623) 512-4190
Fax
(623) 512-4194
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42736 AZ Primary

Addresses

Primary practice location

14415 W McDowell Rd
Suite D102
Goodyear, AZ 85395-2521

Mailing address

9250 N 3Rd St
Suite 4010
Phoenix, AZ 85020-2437
Phone (602) 633-3848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100714001017 AZ Practitioner - Internal Medicine 6507998358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

21681 N 77TH Ave
Suite 1410
Peoria, AZ 85382-2133
Phone (623) 312-2265

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42736AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Jul 11, 2022 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Jul 11, 2022 Accepting new patients
Arizona Primary Care Physicians, LLC CurrentSince Nov 1, 2015 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Privia Medical Group Arizona, LLC Internal Medicine Past Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

5620 W Thunderbird Rd
Ste G2
Glendale, AZ 85306
Phone (602) 938-3600

5620 W Thunderbird Rd
Ste B2
Glendale, AZ 85306
Phone (602) 547-9405

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

21681 N 77th Ave
Ste 1410
Peoria, AZ 85382
Phone (623) 312-2265

7831 W Deer Valley Rd
Peoria, AZ 85382
Phone (623) 312-2265

9250 N 3rd St
Ste 4010
Phoenix, AZ 85020
Phone (602) 633-3838

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

Interoperability endpoints

  • Direct secure messaging: ptung479855@direct.honorhealth.com

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 and National Provider Directory roles.

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1285849372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 4010",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14415 W MCDOWELL RD",
            "address_2": "SUITE D102",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952521",
            "telephone_number": "623-512-4190",
            "fax_number": "623-512-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "PRINEET",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "42736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.