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DR. MICHAEL LICATA MD NPI 1306814579


NPI Information

NPI: 1306814579
Provider Name: DR. MICHAEL LICATA, MD
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Organization: SRA MEDICAL IMAGING LLC

PECOS Registration: Yes

Address:
2157 MAIN ST
BUFFALO, NY
ZIP 14214
Phone: (716) 649-9000
Get Directions

DR. Michael Licata, MD is a body imaging radiology in Buffalo, NY with 35 years of experience. 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.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year:1989

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, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of abdomen, single view (HCPCS:74000)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasound of head and neck (HCPCS:76536)

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.