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SHUKUNG PLLC
NPI 1649968645
Internal Medicine in Mesa, AZ

Active since April 27, 2023
107 N GREENFIELD RD STE 1, MESA, AZ 85205(480) 741-8041(480) 741-8045 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shukung Pllc NPPES

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

SHUKUNG PLLC (NPI 1649968645) is a healthcare organization registered as an internal medicine in Mesa, Arizona and active in the NPI registry since April 2023. The organization lists Shu Ting Kung, Physician, as its authorized official.

NPPES Registry Identity

NPI1649968645
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHUKUNG PLLC
Location Address107 N GREENFIELD RD STE 1Mesa, AZ 85205-7802
Mailing Address107 N Greenfield Rd Ste 1Mesa, AZ 85205-7802 · (480) 741-8041 · Fax (480) 741-8045
Phone(480) 741-8041
Fax(480) 741-8045
Organization SubpartNo
Authorized OfficialShu Ting KungPhysician · (480) 741-8041
Enumeration DateApril 27, 2023
Last NPPES UpdateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1649968645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
107 N GREENFIELD RD STE 1, Mesa, AZ 85205
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shukung Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shukung PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shu Kung, M.D.
Family Practice
NPI 1053706705
107 N. GREENFIELD ROAD SUITE 1
Mesa, AZ 85205
(480) 741-8041
✔ PECOS✔ Accepts MedicareSame address

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

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 Shukung PLLC's NPI number?

The NPI number for Shukung PLLC is 1649968645. It was assigned to this organization in the NPPES registry on April 27, 2023.

Where is Shukung PLLC located?

Shukung PLLC is located at 107 N Greenfield Rd Ste 1, Mesa, AZ 85205. The listed phone number is (480) 741-8041.

What is Shukung PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shukung PLLC enrolled in Medicare?

Yes. Shukung PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shukung PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Shukung PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shukung PLLC was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.