NPIMap

Individual provider Active NPI

Brian Michael Licht, MD

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1366903809
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
332183 Issued in NY
Practice address
1 Gustave L Levy PL
New York, NY 10029-6504
Phone
(212) 241-6426
Fax
(212) 876-3906
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A189924 CA
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 332183 NY Primary

Addresses

Primary practice location

1 Gustave L Levy PL
New York, NY 10029-6504

Mailing address

PO Box 5024
New York, NY 10087-5024
Phone (800) 627-4470

Other practice location 1

1468 Madison Ave Fl 8
New York, NY 10029-6508
Phone (212) 241-7473

Other practice location 2

513 Parnassus Ave., S436, Box 0427
San Francisco, CA 94143
Phone (415) 353-1297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240327002916 CA Practitioner - Anesthesiology 9032440532 Reassigns benefits to 3 organizations
I20241022002551 NY Practitioner - Anesthesiology 9032440532 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Eastern Virginia Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fpa Hospital BasedGroup PAC ID 4789826694, 423 clinicians
Maple Gate Anesthesiologists, P.C.Group PAC ID 8022913839, 113 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-6426

100 High St
Buffalo, NY 14203-1126
Phone (716) 632-1088

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 8, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Anesthesiology CurrentSince Sep 4, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 8, 2024 Accepting new patients
University of California San Francisco CurrentSince Jan 8, 2024 Accepting new patients
University of California San Francisco CurrentSince Jan 8, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
Fpa Hospital Based CurrentSince Oct 1, 2024 Accepting new patients
University Anesthesia Medical Group Anesthesiology CurrentSince Jan 8, 2024 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Maple Gate Anesthesiologists, P.C. Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Mount Sinai Hospital Past Accepting new patients
UCSF Medical Center Anesthesiology Past Accepting new patients

Locations

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

513 Parnassus Ave
#S436
San Francisco, CA 94143
Phone (415) 353-1297

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

513 Parnassus Ave
#427
San Francisco, CA 94143
Phone (415) 476-3235

2568 Walden Ave
Ste 103
Cheektowaga, NY 14225

1468 Madison Ave
Fl 8
New York, NY 10029
Phone (212) 241-2377

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1366903809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5024",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100875024",
            "telephone_number": "800-627-4470",
            "fax_number": "412-937-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-241-6426",
            "fax_number": "212-876-3906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1468 Madison Ave Fl 8",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296508",
            "country_code": "US",
            "telephone_number": "212-241-7473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "513 Parnassus Ave., S436, Box 0427",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94143",
            "country_code": "US",
            "telephone_number": "415-353-1297",
            "fax_number": "415-353-1990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHT",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A189924",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "332183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.