DR. MICHAEL LICATA MD
NPI 1306814579
Radiology - Body Imaging in Buffalo, NY
About Dr. Michael Licata Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL LICATA MD (NPI 1306814579) is an individual body imaging provider in Buffalo, New York, licensed in New York (184241-1) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 12
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Michael Licata Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BUFFALO, NY 14214
BUFFALO, NY 14214
BUFFALO, NY 14214
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 Michael Licata's NPI number?
The NPI number for Michael Licata is 1306814579. It was assigned to this individual provider in the NPPES registry on March 14, 2006.
Where is Michael Licata located?
Michael Licata practices at 2157 Main St, Buffalo, NY 14214. The listed phone number is (716) 649-9000.
What is Michael Licata's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.
Is Michael Licata enrolled in Medicare?
Yes. Michael Licata is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michael Licata was last updated on September 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Michael Licata, MD · NPI 1306814579
Body Imaging physician in Buffalo, New York. Individual provider, active in the CMS NPPES registry since March 14, 2006.
## Identity
- **NPI:** 1306814579 (Entity type: Individual)
- **Enumerated:** March 14, 2006
- **Primary specialty:** Radiology - Body Imaging · taxonomy 2085B0100X
- **State license:** 184241-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2157 MAIN ST, Buffalo, NY 14214-2648
- **Phone:** (716) 649-9000 · **Fax:** (716) 649-9005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 16, 2013
- **Other identifiers:** Other 040426000284 (NY); Other 113586FF (NY); Other 300080525 (NY); and 9 more
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Source: [NPI Profile](https://npiprofile.com/npi/1306814579) · Data from the CMS NPPES public registry.