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SHANNON LIU-KU MD
NPI 1104336254
Pediatrics in San Leandro, CA

Active since October 03, 2017PECOS Enrolled
2500 MERCED STREET, HOSPITAL BUILDING, NICU, SAN LEANDRO, CA 94577(510) 454-1000 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2022, Sep 22, 2021 (2 updates tracked since 2021).

About Shannon Liu-ku Md NPPES

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

SHANNON LIU-KU MD (NPI 1104336254) is an individual pediatrics provider in San Leandro, California, licensed in California (A149634) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104336254
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHANNON LIU-KUCredential: MD
Location Address2500 MERCED STREET, HOSPITAL BUILDING, NICUSan Leandro, CA 94577-5322
Mailing Address2500 Merced Street, Hospital Building, NicuSan Leandro, CA 94577-5322 · (510) 454-1000
Phone(510) 454-1000
Sole ProprietorYes
Enumeration DateOctober 3, 2017
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2021
✔ NPI 1104336254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A149634
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2500 MERCED STREET, San Leandro, CA 94577
Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon Liu

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Liu-ku Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Shannon Liu-ku reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
15 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

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 94577 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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 20

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

DR. LISA M FUNG PHARM D
Pharmacist
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
MRS. MARY ANN QUARTO BLOYER C.N.M.
Advanced Practice Midwife
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
SOLOMON H. YOUNG R.D.
Dietitian, Registered
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
VIJAY N. DAVE PHARM
Pharmacist
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
BYRON MAIGUE ROMERO P.T.
Physical Therapist
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
MRS. AMELIA GRACE FOOS O.T.
Occupational Therapist (Pediatrics)
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
DR. MONIKA YADAV M.D.
Internal Medicine
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
CHUNTING CHUANG PHARM D
Pharmacist
2500 MERCED STREET
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000

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 Shannon Liu-ku's NPI number?

The NPI number for Shannon Liu-ku is 1104336254. It was assigned to this individual provider in the NPPES registry on October 3, 2017. The provider is also known as Shannon Liu.

Where is Shannon Liu-ku located?

Shannon Liu-ku practices at 2500 Merced Street Hospital Building, Nicu, San Leandro, CA 94577. The listed phone number is (510) 454-1000.

What is Shannon Liu-ku's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shannon Liu-ku enrolled in Medicare?

Yes. Shannon Liu-ku is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Liu-ku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Liu-ku reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). 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 Shannon Liu-ku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Liu-ku was last updated on February 11, 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.