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

Dr. Robert Licho, MD

Individual provider Nuclear Medicine Physician · NPI 1831138189

Dr. Robert Licho, MD is a Nuclear Medicine in Worcester, Massachusetts. Graduated from Albany Medical College of Union University in 1985, 41 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
41
Trained at
Albany Medical College of Union University
Licensed in
MA
In the registry since
2006
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

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-7237
Fax: (774) 441-8443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 157 Union St, Marlborough, MA 01752-1228 — (508) 486-5600

Specialties & licences

Nuclear Medicine Physician (primary) Taxonomy 207U00000X · Licence 72925 (MA)

Record details

NPI number1831138189
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

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

Medicare specialtyNUCLEAR MEDICINE
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1985 (41 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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