Individual provider Active NPI

Robert Miletich, MD

  • Nuclear Imaging & Therapy Physician
  • Buffalo, NY
National Provider Identifier
1205891116
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
195033 Issued in NY
Practice address
1616 Kensington Ave
Buffalo, NY 14215-1433
Phone
(716) 831-3005
Fax
(716) 829-2348
NPI assigned
Apr 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 195033 NY Primary
Neurology Physician 2084N0400X 195033 NY

Addresses

Primary practice location

1616 Kensington Ave
Buffalo, NY 14215-1433

Mailing address

3435 Main St
105 Parker Hall #10
Buffalo, NY 14214-3001
Phone (716) 834-8194

Other identifiers 1

IdentifierTypeStateIssuer
01531259MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E. Merhige, MD, LLC CurrentSince Oct 1, 2023 Accepting new patients
Vascu Flo, Inc PastSince Oct 1, 2023 Accepting new patients
Suny Buffalo PastSince Feb 23, 2004 Accepting new patients

Locations

549 4th St
Fl 3
Niagara Falls, NY 14301
Phone (716) 402-1579

549 4th St
Fl Third
Niagara Falls, NY 14301

2447 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 835-1545

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205891116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST",
            "address_2": "105 PARKER HALL #10",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143001",
            "telephone_number": "716-834-8194",
            "fax_number": "716-829-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 KENSINGTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151433",
            "telephone_number": "716-831-3005",
            "fax_number": "716-829-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILETICH",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NY",
            "license": "195033",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "195033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01531259",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.