JOHANNA SHEU SONG MD
NPI 1487035895
Dermatology in Dublin, CA

Q: What is Johanna Sheu Song's NPI number?

The NPI number for Johanna Sheu Song is 1487035895. It was assigned to this individual provider in the NPPES registry on June 11, 2015. The provider is also known as Johanna Song.

Q: What is Johanna Sheu Song's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Johanna Sheu Song was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment

4000 DUBLIN BLVD, DUBLIN, CA 94568(510) 498-2374 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2026, Jul 11, 2022, Dec 22, 2021 and 1 more (4 updates tracked since 2016).

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About Johanna Sheu Song Md NPPES

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

JOHANNA SHEU SONG MD (NPI 1487035895) is an individual dermatology provider in Dublin, California, licensed in California (A162362) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1487035895

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameJOHANNA SHEU SONGCredential: MD

Location Address4000 DUBLIN BLVDDublin, CA 94568-3113

Mailing AddressPo Box 276950Sacramento, CA 95827-6950 · (510) 498-2374

Phone(510) 498-2374

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 11, 2015

Last NPPES UpdateApril 6, 20264 updates tracked since enumeration

NPPES CertifiedApril 6, 2026

✔ NPI 1487035895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in CA · A162362

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

4000 DUBLIN BLVD, Dublin, CA 94568

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Other Names 1

Former Name (1)Johanna Song

Secondary Practice Location 1

Location 11800 Harrison StOakland, CA 94612-3466 · Phone (510) 625-5356

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johanna Sheu Song Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931417896

PECOS Enrollment IDI20220727001553

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 94568 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

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

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. MICHELLE M OLIVEIRA M.D.

Obstetrics & Gynecology