ANDRO REGINALD LUY LICAROS MD
NPI 1932856218
Radiology - Diagnostic Radiology in Boston, MA

Active since March 07, 2022PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(617) 632-4891 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2026, Dec 31, 2025, Mar 7, 2022 (3 updates tracked since 2022).

About Andro Reginald Luy Licaros Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRO REGINALD LUY LICAROS MD (NPI 1932856218) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (1022644) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1932856218
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameANDRO REGINALD LUY LICAROSCredential: MD
Location Address75 FRANCIS STBoston, MA 02115-6106
Mailing Address75 Francis StBoston, MA 02115-6106 · (617) 632-4891
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 7, 2022
Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1932856218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MA · 1022644
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
75 FRANCIS ST, Boston, MA 02115

Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2621 · Phone (617) 724-2275

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andro Reginald Luy Licaros Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062925282
PECOS Enrollment IDI20250701002607, I20260205002312
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115

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 Andro Reginald Licaros's NPI number?

The NPI number for Andro Reginald Licaros is 1932856218. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Andro Reginald Licaros located?

Andro Reginald Licaros practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 632-4891.

What is Andro Reginald Licaros's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Andro Reginald Licaros enrolled in Medicare?

Yes. Andro Reginald Licaros is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Andro Reginald Licaros affiliated with any hospitals?

According to CMS data, Andro Reginald Licaros is affiliated with Cooley Dickinson Hospital Inc,the, Brigham And Women's Hospital, Faulkner Hospital-Brigham And Women's and Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Andro Reginald Licaros was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.