Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Beau Dicicco, MD

Individual provider Dermatology Physician · NPI 1255786000

Dr. Beau Dicicco, MD is a Dermatology in New York, New York. Graduated from University of Texas Medical School at Houston in 2016, 10 years ago. Practices with Bobby Buka, MD, PC, a 143-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
University of Texas Medical School at Houston
Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

417 E 83rd St Apt 5A
New York, NY 10028-6108
Phone: (512) 947-8926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 1st Ave, New York, NY 10029-7404 — (212) 423-6262

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 304250 (NY)

Record details

NPI number1255786000
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2016
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 2016 (10 years in practice)
Group practice Bobby Buka, M.D., P.C. — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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