Individual provider Active NPI

Martin Thomas Liss, M.D.

  • Internal Medicine Physician
  • Beltsville, MD
National Provider Identifier
1225077068
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0047087 Issued in MD
Practice address
10452 Baltimore Ave
Beltsville, MD 20705-2321
Phone
(301) 441-3355
Fax
(301) 441-3359
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0047087 MD Primary

Addresses

Primary practice location

10452 Baltimore Ave
Beltsville, MD 20705-2321

Mailing address

4418 Rosedale Ave
Bethesda, MD 20814-4753
Phone (301) 869-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000759 DC Practitioner - Internal Medicine 6507811866

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443

9141 Alaking CT
Suite 112
Capitol Heights, MD 20743-5041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Jan 21, 2017 Accepting new patients
American Current Care, PA. CurrentSince Jan 21, 2017 Accepting new patients
American Current Care P.a. CurrentSince Jan 21, 2017 Accepting new patients
American Current Care PA Current Accepting new patients

Locations

10452 Baltimore Ave
Beltsville, MD 20705
Phone (301) 441-3355

9141 Alaking Ct
Ste 112
Capitol Heights, MD 20743
Phone (301) 499-4655

803 Russell Ave
Ste 1A
Gaithersburg, MD 20879
Phone (301) 869-0700

1419 Knecht Ave
Halethorpe, MD 21227
Phone (410) 247-9595

4451 Parliament Pl
Ste G
Lanham, MD 20706
Phone (301) 459-9113

5590 General Washington Dr
Alexandria, VA 22312
Phone (703) 914-6718

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1225077068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 ROSEDALE AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144753",
            "telephone_number": "301-869-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10452 BALTIMORE AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052321",
            "telephone_number": "301-441-3355",
            "fax_number": "301-441-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISS",
        "first_name": "MARTIN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0047087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

Verify at the official NPI Registry.