Active NPI
Andrew Licata, M.D.
- Surgery Physician
- Uniontown, PA
National Provider Identifier
1053843813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD476933
- Practice address
- 500 W Berkeley St
Uniontown, PA 15401-5596 - Phone
- (724) 430-5000
- NPI assigned
- Mar 31, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | F397214 | WV | |
| Surgery Physician | 208600000X | MD476933 | PA | Primary |
Addresses
Primary practice location
500 W Berkeley St
Uniontown, PA 15401-5596
Mailing address
500 W Berkeley St
Uniontown, PA 15401-5514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- West Virginia University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-6899
Hospital & facility affiliations
- Uniontown Hospital
- Upmc McKeesport Hospital
- West Virginia University Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD476933 | PA | MD | Surgery Physician |
| F397214 | WV | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayette Physician Network Inc | Surgery | Current | Accepting new patients |
| Fayette Physician Network Inc | Current | Accepting new patients | |
| Fayette Physician Network Inc | Past | Accepting new patients |
Locations
100 Woodlawn Ave
Uniontown, PA 15401
Phone (724) 438-8765
500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000
201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940
Interoperability endpoints
- alicata333957@direct.wvuhsdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Uniontown, PA
- NPI 1992107817
-
- Family Medicine Physician
- Friendsville, MD
- NPI 1437823044
-
- Family Medicine Physician
- Uniontown, PA
- NPI 1013319292
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Uniontown, PA
- NPI 1861409773
-
- General Acute Care Hospital
- Uniontown, PA
- NPI 1871594127
-
- Substance Use Disorder Rehabilitation Hospital Unit
- McKeesport, PA
- NPI 1043703531
-
- General Acute Care Hospital
- McKeesport, PA
- NPI 1194734798
-
- Psychiatric Hospital Unit
- McKeesport, PA
- NPI 1659381275
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1053843813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W BERKELEY ST",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154015514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BERKELEY ST",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154015596",
"telephone_number": "724-430-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICATA",
"first_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-31",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WV",
"license": "F397214",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD476933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Uniontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.