Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Paul Licata

Individual provider Vascular & Interventional Radiology Physician · NPI 1790772002

Paul Licata practises Diagnostic Radiology in Lewisberry, Pennsylvania. Graduated from New York University School of Medicine in 1996, 30 years ago. Practices with Quantum Imaging and Therapeutic Associates Inc, a 92-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
30
Trained at
New York University School of Medicine
Licensed in
PA
In the registry since
2005
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Practice location Address checks out

629D Lowther Rd Ste 3950
Lewisberry, PA 17339-9527
Phone: (717) 932-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD073064L (PA)

Record details

NPI number1790772002
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESMay 24, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Quantum Imaging And Therapeutic Associates Inc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients4,747
Services billed 6,812 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Quantum Imaging and Therapeutic Associates Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 92 clinicians in the practice; 12 are shown here.

Other providers in Lewisberry