Active NPI
Robert Miletich, MD
- Nuclear Imaging & Therapy Physician
- Buffalo, NY
National Provider Identifier
1205891116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Imaging & Therapy Physician
- License
- 195033
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01531259 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael E. Merhige, MD, LLC | Current | Accepting new patients | |
| Vascu Flo, Inc | Past | Accepting new patients | |
| Suny Buffalo | Past | 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.
-
- Cardiovascular Disease Physician
- Niagara Falls, NY
- NPI 1679755243
-
- Special Hospital
- Buffalo, NY
- NPI 1801122072
-
- Specialist
- Cheektowaga, NY
- NPI 1336104454
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.