Individual provider Active NPI

Benjamin D Liess, MD

  • Otolaryngology Physician
  • South Portland, ME
National Provider Identifier
1265536445
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD18388 Issued in ME
Practice address
100 Foden Rd, West
Suite 100
South Portland, ME 04106-2327
Phone
(207) 347-2910
Fax
(207) 523-8591
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2009014370 MO
Otolaryngology Physician 207Y00000X MD18388 ME Primary
Otolaryngology Physician 207Y00000X T2004016418 MO

Addresses

Primary practice location

100 Foden Rd, West
Suite 100
South Portland, ME 04106-2327

Mailing address

144 US Route 1 Ste 1
Scarborough, ME 04074-7219
Phone (207) 415-4841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20101005000030 ME Practitioner - OtolaryngologyPractitioner - Maxillofacial SurgeryPractitioner - Plastic and Reconstructive Surgery 5890841597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Maxillofacial Surgery, Plastic and Reconstructive Surgery
Education
University of Missouri, Columbia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

144 US Route 1
Scarborough, ME 04074-7219
Phone (207) 415-4841

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18388MEMDOtolaryngology Physician
T2004016418MOMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Support LLC Otolaryngology Current Accepting new patients
Benjamin Liess ENT LLC Otolaryngology CurrentSince Feb 1, 2019 Accepting new patients
Camden Dermatology & Mohs Surgery LLC CurrentSince Jun 29, 2021 Accepting new patients

Locations

195 Fore River Pkwy
Ste 120
Portland, ME 04102
Phone (207) 415-4841

144 US Route 1
Ste 1
Scarborough, ME 04074
Phone (207) 415-4841

144 US Route 1
Unit A
Scarborough, ME 04074

144 US Route 1
Scarborough, ME 04074
Phone (207) 415-4841

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00039
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICEGBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICEGBD/Endpoint/ICEGBD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1265536445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 US ROUTE 1 STE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747219",
            "telephone_number": "207-415-4841",
            "fax_number": "888-612-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FODEN RD, WEST",
            "address_2": "SUITE 100",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062327",
            "telephone_number": "207-347-2910",
            "fax_number": "207-523-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIESS",
        "first_name": "BENJAMIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2009014370",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ME",
            "license": "MD18388",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "T2004016418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.