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DR. ZACHARY JONATHAN LISS M.D.
NPI 1457592990
Urology - Pediatric Urology in Saint Clair Shores, MI

Active since March 12, 2009PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081(586) 771-4820 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Zachary Jonathan Liss M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ZACHARY JONATHAN LISS M.D. (NPI 1457592990) is an individual pediatric urology provider in Saint Clair Shores, Michigan, licensed in Michigan (4301092867) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2013).

NPPES Registry Identity

NPI1457592990
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameDR. ZACHARY JONATHAN LISSCredential: M.D.
Location Address20952 E 12 MILE RD, SUITE 200Saint Clair Shores, MI 48081-3200
Mailing Address20952 E 12 Mile Rd, Suite 200Saint Clair Shores, MI 48081-3200 · (586) 771-4820
Phone(586) 771-4820
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2013
Enumeration DateMarch 12, 2009
Last NPPES UpdateAugust 6, 2015
✔ NPI 1457592990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in MI · 4301092867
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X · License 4301092867 (MI)
20952 E 12 MILE RD, Saint Clair Shores, MI 48081
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Other Identifiers 3

OtherCB9133MI · Railroad Medicare
Medicare PIN0E06273075MI
Other340E062730MI · Bcbsm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Zachary Jonathan Liss M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830410885
PECOS Enrollment IDI20150603001206
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE SUTHERLAND
Physical Therapist
20952 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 498-3500
MRS. JULIANNE DOLORES MARTIN P.T.
Physical Therapist
20952 E 12 MILE RD, SUITE 110
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 498-3500
BRIAN V GUZ MD
Urology
20952 E 12 MILE RD, SUITE 200
ST CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
ALPHONSE M SANTINO MD
Urology
20952 E 12 MILE RD, SUITE 200
ST CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
SCOTT WILKINSON DO
Urology
20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
KATIE HERMAN PT, CLT
Physical Therapist
20952 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 498-3500
DR. SCOTT I SIRCUS M.D.
Urology
20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 771-4820
DR. GEOFFREY D OSGOOD M.D.
Specialist
20952 E 12 MILE RD, SUITE 150
ST CLAIR SHORES, MI 48081
Macomb County (586) 777-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Liss's NPI number?

The NPI number for Zachary Liss is 1457592990. It was assigned to this individual provider in the NPPES registry on March 12, 2009.

Where is Zachary Liss located?

Zachary Liss practices at 20952 E 12 Mile Rd Suite 200, Saint Clair Shores, MI 48081. The listed phone number is (586) 771-4820.

What is Zachary Liss's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Zachary Liss enrolled in Medicare?

Yes. Zachary Liss is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Zachary Liss accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Zachary Liss as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Zachary Liss was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.