Dr. Shang John Sung, M.D.
Emergency Medicine in Conroe, TX. Individual provider (NPI-1).
NPI number1295056752
StatusActive
Last updated in NPPESSep 20, 2024
Details
- NPI
- 1295056752
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shang John Sung
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2010
- Certification date
- Sep 20, 2024
- Last updated
- Sep 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | Q0186 | TX | Yes |
| 207P00000X | Emergency Medicine | 4301096866 | MI |
Practice location
504 Medical Center BlvdConroe, TX 77304-2808
Phone 936-539-7044
Mailing address
504 Medical Center BlvdConroe, TX 77304-2808
Phone 936-539-7044
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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