Active NPI
Zachary Jonathan Liss, M.D.
- Pediatric Urology Physician
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 4301092867
- Practice address
- 20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3200 - Phone
- (586) 771-4820
- NPI assigned
- Mar 12, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
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.
-
- Urology Physician
- St Clair Shores, MI
- NPI 1427027416
MI, Urology
-
- Durable Medical Equipment & Medical Supplies
- Utica, MI
- NPI 1922999051
Urology
-
- Durable Medical Equipment & Medical Supplies
- West Bloomfield, MI
- NPI 1194807693
Urology
-
- Durable Medical Equipment & Medical Supplies
- Clarkston, MI
- NPI 1275623068
Urology
-
- Durable Medical Equipment & Medical Supplies
- Troy, MI
- NPI 1295817799
Urology
-
- Durable Medical Equipment & Medical Supplies
- Utica, MI
- NPI 1326138033
Urology
-
- Urology Physician
- Rochester Hills, MI
- NPI 1326208745
Urology
-
- Durable Medical Equipment & Medical Supplies
- Saint Clair Shores, MI
- NPI 1730393927
Urology
-
- Durable Medical Equipment & Medical Supplies
- West Bloomfield, MI
- NPI 1801978309
Urology
-
- Durable Medical Equipment & Medical Supplies
- Dearborn, MI
- NPI 1871673962
Urology
-
- Durable Medical Equipment & Medical Supplies
- Pontiac, MI
- NPI 1881776383
Urology
-
- Durable Medical Equipment & Medical Supplies
- Macomb, MI
- NPI 1063284958
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Wayne State University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Michigan Institute of Urology PC
Practice addresses (Care Compare)
20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.86 of 100
- Quality
- 81.01
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603001206 | MI | Practitioner - Urology | 9830410885 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301092867 | MI | MD | Pediatric Urology Physician |
Practice roles
Locations
25500 Meadowbrook Rd
Ste 225
Novi, MI 48375
Phone (248) 426-1300
20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820
11051 Hall Rd
Ste 200
Utica, MI 48317
Phone (586) 254-5759
Interoperability endpoints
- zliss@direct.dmc.org
- zliss1139345@direct.hfhs.org
- zliss1243902@epic00.shdirect.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | 4301092867 | MI | Primary |
| Urology Physician | 208800000X | 4301092867 | MI |
Addresses
NPPES NPI RegistryPrimary practice location
20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3200
Mailing address
20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3200
Phone (586) 771-4820
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB9133 | Other | MI | RAILROAD MEDICARE |
| 340E062730 | Other | MI | BCBSM |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2015.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1457592990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20952 E 12 MILE RD",
"address_2": "SUITE 200",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813200",
"telephone_number": "586-771-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20952 E 12 MILE RD",
"address_2": "SUITE 200",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813200",
"telephone_number": "586-771-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISS",
"first_name": "ZACHARY",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-12",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "MI",
"license": "4301092867",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "4301092867",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CB9133",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "340E062730",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.