Paul Licata
Vascular & Interventional Radiology Physician · Lewisberry, PA
Paul Licata is a vascular & interventional radiology physician with a practice address in Lewisberry, Pennsylvania, and NPI 1790772002, issued on Oct 3, 2005. Check the license (Pennsylvania MD073064L, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Paul Licata
- Primary taxonomy
- Vascular & Interventional Radiology Physician 2085R0204X
- License number
- MD073064L PA
Self-reported in NPPES; status is on the state search - Practice location
- 629D Lowther RD, Lewisberry, PA 17339
- Phone
- (717) 932-5200
- Enumerated
- Oct 3, 2005
- Record last updated
- May 24, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20041018000072); accepts Medicare assignment
- Medical or professional school
- New York University School Of Medicine, 1996
- Entity
- Type 1 · individual
8 nearest vascular & interventional radiology physician records → All 244 in Pennsylvania → Look up another NPI →
Also registered at 629D Lowther RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Charles AustinDiagnostic Radiology Physician1225024391
- Elie AzarDiagnostic Radiology Physician1356321459
- Patricia Barry-Lane, M,D,, PHDDiagnostic Radiology Physician1093938367
- Elizabeth Bergey, MDDiagnostic Radiology Physician1316934334
- Christopher BloomerDiagnostic Radiology Physician1023094943
- Howard Bronfman, MDDiagnostic Radiology Physician1003803016
Verify Paul Licata in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD073064LCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Quantum Imaging And Therapeutic Associates IncLewisburg, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Paul Licata among 244 vascular & interventional radiology physician records in Pennsylvania
Paul Licata is one of 244 vascular & interventional radiology physician records with a practice address in Pennsylvania. 91% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 85% newer
- In a Medicare fileYes · 91% of these records are
- In the CMS Doctors and Clinicians fileYes · 85% of these records are
- Graduated1996 · median 2007 among the 208 with a school on file
- Record last updated2021 · 43% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0204X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
6 vascular & interventional radiology physician records list a practice address in Lewisberry
They are 6 of the 101 NPPES records with a practice address in Lewisberry, and 244 vascular & interventional radiology physician records in Pennsylvania.
All 244 in Pennsylvania → Every provider in Lewisberry → Vascular & Interventional Radiology Physician nationwide →
The 8 vascular & interventional radiology physician records with the nearest ZIP codes
- Jay GoodmanLewisberry, PA 173391326034026
- Anand Jagannath, MDLewisberry, PA 173391578559472
- Christoph Pohl, MDLewisberry, PA 173391134184427
- Jared Roberts, DOLewisberry, PA 173391124552245
- Alexander Trebelev, MDLewisberry, PA 173391104863489
- Timothy McKee, MDYork, PA 174031942688668
- Adnaan Moin, M.D.York, PA 174031568782233
- Anthony Skiptunas, DOYork, PA 174031487634341
Common questions
What is Paul Licata's NPI number?
Paul Licata's National Provider Identifier (NPI) is 1790772002, issued on Oct 3, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Paul Licata located?
The NPPES record lists a practice address at 629D Lowther RD, Lewisberry, PA, 17339. Phone: (717) 932-5200. Providers update this record themselves, so call before visiting.
How can I verify Paul Licata's license?
NPPES lists Pennsylvania license number MD073064L, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.