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

Q: 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.

Q: What is Shannon Liu-ku's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Liu-ku was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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).

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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

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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.

DALE TOWNSEND MD

Orthopaedic Surgery

2500 MERCED STREET, 4TH FLOOR - ORTHOPEDICS
SAN LEANDRO, CA 94577

Alameda County (510) 454-7300

JOHN JOEL STIENSTRA DPM

Podiatrist