DR. DAVID JACOB LISS (M.D.) – Pulmonary Disease Physician, NPI 1447294244

DR. DAVID JACOB LISS (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in Pulmonary Disease Physician. They hold the professional credentials M.D.. They hold a License No. MD156575 (OR). The NPI Number for DR. DAVID JACOB LISS (M.D.) is 1447294244

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID JACOB LISS (M.D.)
NPI
1447294244
Phone
(503) 963-2801
Address
847 NE 19TH AVE
Enumeration Date
15 June 2006
Last Update Date
19 March 2021

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
7911905955
Group Practice PAC ID
5294623245
Professional Enrollment ID
I20120402000194

Contacts

Secure Messaging
dliss354078@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. DAVID JACOB LISS (M.D.)

  • Cascadia Behavioral Healthcare Administrative Office, 847, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States

    SUITE 300

    PORTLAND, OR 972322684

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    Type: Mailing

  • Offices of Dr. Todd A. Kuether, MD, 19250, Southwest 65th Avenue, Tualatin, Metro, Washington County, Oregon, 97062, United States

    SUITE 135

    TUALATIN, OR 970627452

    Phone: (503) 692-8560

    Fax: (503) 692-8562

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120402000194IPulmonary DiseaseORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97232)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294623245View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. DAVID JACOB LISS (M.D.)?
For DR. DAVID JACOB LISS (M.D.), use NPI 1447294244 as the unique 10-digit identifier.
Is DR. DAVID JACOB LISS (M.D.) shown as active in public data?
Registry records indicate DR. DAVID JACOB LISS (M.D.) maintains an active NPI.
What kind of doctor is DR. DAVID JACOB LISS (M.D.)?
DR. DAVID JACOB LISS (M.D.) is associated with Pulmonary Disease Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Oregon is DR. DAVID JACOB LISS (M.D.) registered?
Use Portland, Oregon as the headline location for DR. DAVID JACOB LISS (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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