NPIMap

Individual provider Active NPI

Ben Liscano, MD

  • Family Medicine Physician
  • Madison, SD
National Provider Identifier
1326301128
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9561 Issued in SD
Practice address
323 SW 10TH St
Madison, SD 57042-3200
Phone
(605) 256-6551
Fax
(605) 256-6469
NPI assigned
Jun 18, 2012
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9561 SD Primary

Addresses

Primary practice location

323 SW 10TH St
Madison, SD 57042-3200

Mailing address

323 SW 10TH St
Madison, SD 57042-3200
Phone (605) 256-6551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002002500 SD Practitioner - Family Practice 6608008644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Community HospitalGroup PAC ID 3779579743, 46 clinicians

Practice addresses (Care Compare)

323 SW 10TH St
Madison, SD 57042-3200
Phone (605) 256-6551

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.71 of 100Reported as group
Quality
85.75
Improvement activities
40
Cost
78.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Community Hospital CurrentSince Jul 31, 2015 Accepting new patients
Madison Community Hospital CurrentSince Jul 31, 2015 Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Bethel Lutheran Home Past Accepting new patients
Horizon Health Care Inc Past Accepting new patients

Locations

323 SW 10th St
Madison, SD 57042
Phone (605) 256-6551

917 N Washington Ave
Madison, SD 57042
Phone (605) 256-6551

Interoperability endpoints

  • Direct secure messaging: bliscano739623@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Samaritan Society - HowardHoward, SD, CCN 435075 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 28, 2017
Aug 28, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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

Hospital & facility affiliations 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1326301128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SW 10TH ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423200",
            "telephone_number": "605-256-6551",
            "fax_number": "605-256-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SW 10TH ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423200",
            "telephone_number": "605-256-6551",
            "fax_number": "605-256-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISCANO",
        "first_name": "BEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "9561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, SD

Sources for this page

Verify at the official NPI Registry.