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: July 19, 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
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

Other Names 1

Former Name (1)Shannon Liu

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Orthopaedic Surgery
2500 MERCED STREET, 4TH FLOOR - ORTHOPEDICS
SAN LEANDRO, CA 94577
Podiatrist
2500 MERCED STREET
SAN LEANDRO, CA 94577
Hospitalist
2500 MERCED STREET
SAN LEANDRO, CA 94577
Internal Medicine
2500 MERCED STREET
SAN LEANDRO, CA 94577
Occupational Therapist
2500 MERCED STREET
SAN LEANDRO, CA 94577
Anesthesiology
2500 MERCED STREET
SAN LEANDRO, CA 94577
Internal Medicine (Gastroenterology)
2500 MERCED STREET
SAN LEANDRO, CA 94577
Plastic Surgery
2500 MERCED STREET, SURGERY, 406
SAN LEANDRO, CA 94577

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104336254, enumerated as an "individual" on October 03, 2017.

The provider is located at 2500 MERCED STREET HOSPITAL BUILDING, NICU SAN LEANDRO, CA 94577 and the phone number is (510) 454-1000.

Pediatrics with taxonomy code 208000000X.