DR. MICHAEL LICATA MD NPI 1306814579

NPI Information

  • NPI: 1306814579
  • Provider Name: DR. MICHAEL LICATA, MD
  • Classification: Radiology - 2085B0100X
  • Specialization: Body Imaging
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2157 MAIN ST
    BUFFALO, NY
    ZIP 14214
  • Phone: (716) 649-9000

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NPI Details

DR. Michael Licata, MD is a body imaging radiology in Buffalo, NY. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. DR. Michael Licata, MD NPI is 1306814579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2157 MAIN ST
BUFFALO, NY
ZIP 14214-648
Phone: (716) 649-9000
Fax: (716) 649-9005

The NPI 1306814579 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of face without contrast (HCPCS:70486)
  • Limited ultrasound scan of abdomen (HCPCS:76705)

The enumeration date for this NPI number is 3/14/2006 and was last updated on 9/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology184241NEW YORKNo
22085B0100XRadiologyBody Imaging184241-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1040426000284OTHERNEW YORKFIDELIS CARE OF NEW YORK
2113586FFOTHERNEW YORKPREFERRED CARE
3300080525OTHERNEW YORKRR MEDICARE
414422CMEDICARE PINNEW YORK
51609206OTHERNEW YORKINDEPENDENT HEALTH
614464IMEDICARE PINNEW YORK
7000523460013OTHERNEW YORKBCBS
8F92231MEDICARE UPINNEW YORK
901528734MEDICAIDNEW YORK
10RA1913MEDICARE PINNEW YORK
1100026372703OTHERNEW YORKUNIVERA HEALTHCARE
12K83875MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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