Individual provider Active NPI

Brian Fung, MD

  • Gastroenterology Physician
  • Mesa, AZ
National Provider Identifier
1366974164
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
61850 Issued in AZ
Practice address
603 W Baseline Rd Ste 200
Mesa, AZ 85210-6051
Phone
(480) 461-1088
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 61850 AZ Primary

Addresses

Primary practice location

603 W Baseline Rd Ste 200
Mesa, AZ 85210-6051

Mailing address

603 W Baseline Rd Ste 200
Mesa, AZ 85210-6051
Phone (480) 461-1088

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
I20230623000857 AZ Practitioner - Internal Medicine 6204259443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

603 W Baseline Rd
Suite 200
Mesa, AZ 85210-6047
Phone (480) 461-1088

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.75 of 100Reported as group
Quality
60.45
Promoting interoperability
97
Improvement activities
40
Cost
81.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy133
Upper gastrointestinal (GI) endoscopy for acid reflux92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Digestive Health, PC Gastroenterology CurrentSince Jun 12, 2023 Accepting new patients

Locations

201 W Guadalupe Rd
Ste 209
Gilbert, AZ 85233
Phone (480) 633-5930

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

603 W Baseline Rd
Ste 200
Mesa, AZ 85210
Phone (480) 461-1088

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1111 E McDowell Rd
#2
Phoenix, AZ 85006
Phone (602) 839-2296

645 E Missouri Ave
Ste 280
Phoenix, AZ 85012
Phone (602) 264-9100

21321 E Ocotillo Rd
Ste 114
Queen Creek, AZ 85142
Phone (480) 461-1088

Organizations & group practices 1

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1366974164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 W BASELINE RD STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106051",
            "telephone_number": "480-461-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W BASELINE RD STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106051",
            "telephone_number": "480-461-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "61850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.