DR. PETER JOSEPH LICATA D.O. NPI 1336225747

NPI Information

  • NPI: 1336225747
  • Provider Name: DR. PETER JOSEPH LICATA, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5410 W SAHARA AVE
    LAS VEGAS, NV
    ZIP 89146
  • Phone: (702) 362-2500

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NPI Details

DR. Peter Joseph Licata, D.O. is a family medicine in Las Vegas, NV with 47 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Peter Joseph Licata, D.O. NPI is 1336225747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:1979

The provider's business location address is:

5410 W SAHARA AVE
LAS VEGAS, NV
ZIP 89146-307
Phone: (702) 362-2500
Fax: (702) 876-6581

The NPI 1336225747 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.

  • Urinalysis, manual test (HCPCS:81002)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Osteopathic manipulative treatment, 1-2 body regions (HCPCS:98925)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
  • Test to determine lung volumes using gas dilution or washout (HCPCS:94727)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Electrocardiogram (ecg) 2-day continuous with review and report by health care professional (HCPCS:93224)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 10/27/2006 and was last updated on 9/16/2014.

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
1207Q00000XFamily Medicine315NEVADAYes

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
108WCHCK01MEDICARE ID-TYPE UNSPECIFIEDNEVADA
22002566MEDICAIDNEVADA
3E69586MEDICARE UPINNEVADA

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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