DR. BRIAN SOONGYONG JU M.D.
NPI 1194780262
Surgery in Mesa, AZ

Q: What is Brian Ju's NPI number?

The NPI number for Brian Ju is 1194780262. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Brian Ju's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Ju was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment

4135 S POWER RD STE 117, MESA, AZ 85212(480) 892-2456(480) 892-2458 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Jul 26, 2017 (2 updates tracked since 2017).

On this page

About Dr. Brian Soongyong Ju M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN SOONGYONG JU M.D. (NPI 1194780262) is an individual surgery provider in Mesa, Arizona, licensed in Arizona (33676) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1995).

NPPES Registry Identity

NPI1194780262

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. BRIAN SOONGYONG JUCredential: M.D.

Location Address4135 S POWER RD STE 117Mesa, AZ 85212-3625

Mailing Address4135 S Power Rd Ste 117Mesa, AZ 85212-3625 · (480) 892-2456 · Fax (480) 892-2458

Phone(480) 892-2456

Fax(480) 892-2458

Sole ProprietorNo

Medical School CMSMedical College Of PennsylvaniaGraduated 1995

Enumeration DateApril 19, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1194780262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in AZ · 33676

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4135 S POWER RD STE 117, Mesa, AZ 85212

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Soongyong Ju M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395776611

PECOS Enrollment IDI20050826000279

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brian Ju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgical Professionals, Inc

Same address

Surgery

4135 S POWER RD, SUITE 117
Mesa, AZ 85212

Reassigned Medicare billing, Arizona enrollment
2 clinicians in this Medicare group

NPI 1982629978 (480) 545-2610

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENERAL & ROBOTIC SURGICAL ASSOCIATES PLLC

Surgery

4135 S POWER RD STE 117
MESA, AZ 85212

Maricopa County (480) 350-7905

COPPER MOUNTAIN SURGICAL PLLC

Surgery

4135 S POWER RD STE 117
MESA, AZ 85212

Maricopa County (480) 495-9399

ASSER M YOUSSEF M.D.

Surgery

4135 S POWER RD STE 117
MESA, AZ 85212

Maricopa County (480) 350-7905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Ju's NPI number?

The NPI number for Brian Ju is 1194780262. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Brian Ju located?

Brian Ju practices at 4135 S Power Rd Ste 117, Mesa, AZ 85212. The listed phone number is (480) 892-2456.

What is Brian Ju's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brian Ju enrolled in Medicare?

Yes. Brian Ju is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brian Ju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Ju reassigns Medicare benefits to Surgical Professionals, Inc (Mesa, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Ju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Ju accept?

Health plans from Imperial Insurance Companies, Inc. list Brian Ju as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Ju was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.