DR. MICHAEL LICATA MD
NPI 1306814579
Radiology - Body Imaging in Buffalo, NY

Q: 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.

Q: What is Michael Licata's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

Q: 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 13 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.

Active since March 14, 2006PECOS Enrolled

2157 MAIN ST, BUFFALO, NY 14214(716) 649-9000(716) 649-9005 Get Directions Write a Review

NPPES record last updated: September 16, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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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

NPI1306814579

Entity TypeIndividualMale

Primary Taxonomy2085B0100X

Provider Legal NameDR. MICHAEL LICATACredential: MD

Location Address2157 MAIN STBuffalo, NY 14214-2648

Mailing Address3040 Amsdell RdHamburg, NY 14075-5835 · (716) 649-9000 · Fax (716) 649-9005

Phone(716) 649-9000

Fax(716) 649-9005

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateSeptember 16, 2013

✔ NPI 1306814579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians

Taxonomy Code2085B0100X

License✔ Licensed in NY · 184241-1

Definition

A Radiology doctor of Osteopathy that specializes in Body Imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 184241 (NY)

2157 MAIN ST, Buffalo, NY 14214

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Other Identifiers 12

Other040426000284NY · Fidelis Care Of New York

Other113586FFNY · Preferred Care

Other300080525NY · Rr Medicare

Medicare PIN14422CNY

Other1609206NY · Independent Health

Medicare PIN14464INY

Other000523460013NY · Bcbs

Medicare UPINF92231NY

Medicaid01528734NY

Medicare PINRA1913NY

Other00026372703NY · Univera Healthcare

Medicare ID-Type UnspecifiedK83875NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Licata Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Licata reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southtowns Radiology Associates,llc

7.5 mi

Diagnostic Neuroimaging

550 ORCHARD PARK RD
West Seneca, NY 14224

Reassigned Medicare billing, New York enrollment
48 clinicians in this Medicare group

NPI 1477767986 (716) 558-5140

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DAVID MAY P.T.

Physical Therapist