Individual provider Active NPI

Benjamin Liss, M.D.

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1669819272
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MT204504 Issued in PA
Practice address
245 N 15TH St
Department of Emergency Medicine
Philadelphia, PA 19102-1101
Phone
(215) 762-2365
NPI assigned
May 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT204504 PA Primary

Addresses

Primary practice location

245 N 15TH St
Department of Emergency Medicine
Philadelphia, PA 19102-1101

Mailing address

245 N 15TH St
Department of Emergency Medicine
Philadelphia, PA 19102-1101
Phone (215) 762-2365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, MD, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160727001713 FL Practitioner - Emergency Medicine 4486947595 Reassigns benefits to 4 organizations
I20180814003080 VA Practitioner - Emergency Medicine 4486947595 Reassigns benefits to 3 organizations
I20191125000150 MD Practitioner - Emergency Medicine 4486947595 Reassigns benefits to 1 organization
I20200928002410 TN Practitioner - Emergency Medicine 4486947595 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT204504PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2018 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Tidewater Emergency Medical Care, LTD. Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jul 1, 2018 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Emergency Medicine Services of VA, LLC Emergency Medicine CurrentSince Nov 18, 2023 Accepting new patients
Chester River Health Center CurrentSince Nov 6, 2019 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Chester River Hospital Center CurrentSince Nov 6, 2019 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Tidewater Emergency Medical Care PastSince Feb 2, 2020 Accepting new patients

Locations (25 of 34)

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

8500 State Road 70 E
Lakewood Ranch, FL 34202
Phone (941) 232-6532

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

2361 N Semoran Blvd
Orlando, FL 32807
Phone (407) 359-6010

8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

660 S US Highway 1
Vero Beach, FL 32962
Phone (772) 461-4000

6131 Seven Mile Dr
Wildwood, FL 34785
Phone (352) 401-1033

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

219 S Washington St
Easton, MD 21601

20010 Century Blvd
Ste 200
Germantown, MD 20874

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

Interoperability endpoints

  • Direct secure messaging: bliss20303@jupitermedicalcenter.direct-ci.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1669819272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISS",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT204504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.