Active NPI
Benjamin Reiss, M.D.
- Retina Specialist (Ophthalmology) Physician
- Auburn, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 60820884
- Practice address
- 125 3Rd St NE Ste 200
Auburn, WA 98002-4035 - Phone
- (253) 275-1000
- Fax
- (253) 275-9000
- NPI assigned
- Apr 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 60820884 | WA | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 60820884 | WA | Primary |
Addresses
Primary practice location
125 3Rd St NE Ste 200
Auburn, WA 98002-4035
Mailing address
125 3Rd St NE Ste 200
Auburn, WA 98002-4035
Phone (253) 275-1000
Other practice location 1
4009 Talbot Rd S Ste 400
Renton, WA 98055-5781
Phone (253) 275-1000
Other practice location 2
1901 S Union Ave Ste B5004
Tacoma, WA 98405-1805
Phone (253) 275-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Ohio State University College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 3Rd St NE
Suite 200
Auburn, WA 98002-4035
Phone (253) 275-1000
3602 S 19TH St
Tacoma, WA 98405-1919
Phone (253) 759-5555
4009 Talbot Rd S
Suite 400
Renton, WA 98055-5781
Phone (253) 295-1000
Hospital & facility affiliations
- Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60820884 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Retina, PLLC | Ophthalmology | Current | Accepting new patients |
Locations
125 3rd St NE
Ste 200
Auburn, WA 98002
Phone (253) 275-1000
4009 Talbot Rd S
Ste 400
Renton, WA 98055
Phone (253) 275-1000
1901 S Union Ave
Ste B5004
Tacoma, WA 98405
Phone (253) 275-1000
Interoperability endpoints
- breiss@waretina.intellechartdirect.net
- breiss@pnwe.intellechartdirect.net
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.
-
- Retina Specialist (Ophthalmology) Physician
- Auburn, WA
- NPI 1215672084
-
- Ophthalmology Physician
- Tacoma, WA
- NPI 1235262551
-
- Retina Specialist (Ophthalmology) Physician
- Renton, WA
- NPI 1528303849
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1659637668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 3RD ST NE STE 200",
"city": "AUBURN",
"state": "WA",
"postal_code": "980024035",
"telephone_number": "253-275-1000",
"fax_number": "253-275-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 3RD ST NE STE 200",
"city": "AUBURN",
"state": "WA",
"postal_code": "980024035",
"telephone_number": "253-275-1000",
"fax_number": "253-275-9000"
}
],
"practiceLocations": [
{
"address_1": "4009 Talbot Rd S Ste 400",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555781",
"country_code": "US",
"telephone_number": "253-275-1000",
"fax_number": "253-275-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 S Union Ave Ste B5004",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984051805",
"country_code": "US",
"telephone_number": "253-275-1000",
"fax_number": "253-275-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REISS",
"first_name": "BENJAMIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-03",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "60820884",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "WA",
"license": "60820884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.