Individual provider Active NPI

Ariel Shuchleib Cung

  • Surgery Physician
  • Fresno, CA
National Provider Identifier
1477818664
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A148967 Issued in CA
Practice address
1510 E Herndon Ave Ste 210
Fresno, CA 93720-3333
Phone
(559) 450-2274
NPI assigned
Jul 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A148967 CA Primary

Addresses

Primary practice location

1510 E Herndon Ave Ste 210
Fresno, CA 93720-3333

Mailing address

1510 E Herndon Ave Ste 210
Fresno, CA 93720-3333
Phone (559) 450-2274

Other practice location 1

205 E River Park Cir Ste 460
Fresno, CA 93720-1585
Phone (559) 261-4500

Other practice location 2

227 Grand St
Brooklyn
New York, NY 10013-4211
Phone (347) 924-1448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221102003244 CA Practitioner - Internal MedicinePractitioner - Hospitalist 8628445756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians

Practice addresses (Care Compare)

1510 E Herndon Ave
Suite 110
Fresno, CA 93720-3333
Phone (559) 450-6742

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.57 of 100Reported as group
Quality
63.43
Promoting interoperability
98
Improvement activities
40
Cost
77.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A148967CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LQMG Medical Group Inc. Current Accepting new patients
Saint Agnes Medical Foundation Surgery CurrentSince Aug 1, 2022 Accepting new patients
Universal Healthcare Ipa, Inc. Past Accepting new patients

Locations

1510 E Herndon Ave
Ste 110
Fresno, CA 93720
Phone (559) 450-6742

1111 E Spruce Ave
Ste 431
Fresno, CA 93720
Phone (559) 450-5611

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1510 E Herndon Ave
Ste 210
Fresno, CA 93720
Phone (559) 450-2274

Interoperability endpoints

  • Direct secure messaging: ashuchleib2714116@direct.trinity-health.org

Organizations & group practices 3

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 1

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1477818664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E HERNDON AVE STE 210",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203333",
            "telephone_number": "559-450-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E HERNDON AVE STE 210",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203333",
            "telephone_number": "559-450-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E River Park Cir Ste 460",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937201585",
            "country_code": "US",
            "telephone_number": "559-261-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Grand St",
            "address_2": "Brooklyn",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134211",
            "country_code": "US",
            "telephone_number": "347-924-1448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUCHLEIB CUNG",
        "first_name": "ARIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A148967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.