JOHNNY Y SHUM DO
NPI 1407140056
Family Medicine in Seattle, WA

Active since May 31, 2011PECOS Enrolled
4540 UNION BAY PL NE, SEATTLE, WA 98105(206) 320-3400(206) 320-5773 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 18, 2022, Mar 26, 2020 (2 updates tracked since 2020).

About Johnny Y Shum Do NPPES

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

JOHNNY Y SHUM DO (NPI 1407140056) is an individual family medicine provider in Seattle, Washington, licensed in Washington (OP60384423) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1407140056
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHNNY Y SHUMCredential: DO
Location Address4540 UNION BAY PL NESeattle, WA 98105-4025
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Fax(206) 320-5773
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 31, 2011
Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
NPI 1407140056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · OP60384423
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License OP60384423 (WA)
4540 UNION BAY PL NE, Seattle, WA 98105

Other Identifiers 3

Medicaid2020728WA
Medicaid1407140056WA
OtherG8930498WA · Medicare W Valley Medical Group - Renton

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Johnny Y Shum Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082832241
PECOS Enrollment IDI20140829000848
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 11

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

Family Medicine
4540 UNION BAY PL NE
SEATTLE, WA 98105
Psychiatry & Neurology (Psychiatry)
4540 UNION BAY PL NE
SEATTLE, WA 98105
Family Medicine
4540 UNION BAY PL NE
SEATTLE, WA 98105
Social Worker (Clinical)
4540 UNION BAY PL NE
SEATTLE, WA 98105
Family Medicine
4540 UNION BAY PL NE
SEATTLE, WA 98105
Family Medicine
4540 UNION BAY PL NE
SEATTLE, WA 98105
Clinical Medical Laboratory
4540 UNION BAY PL NE
SEATTLE, WA 98105
Internal Medicine
4540 UNION BAY PL NE
SEATTLE, WA 98105

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 Johnny Shum's NPI number?

The NPI number for Johnny Shum is 1407140056. It was assigned to this individual provider in the NPPES registry on May 31, 2011.

Where is Johnny Shum located?

Johnny Shum practices at 4540 Union Bay Pl NE, Seattle, WA 98105. The listed phone number is (206) 320-3400.

What is Johnny Shum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Johnny Shum enrolled in Medicare?

Yes. Johnny Shum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnny Shum was last updated on January 18, 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.