Doctor profile · Federal record
Dr. Michael Licata, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Royal Oak, MI
- NPI 1356884746
- MIPS 82.4 / 100 · 2023
- 10 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3601 W 13 Mile RD
Royal Oak, MI 480736712
(248) 898-7784
fax (248) 898-8181 - Mailing address
-
130 Town Center Dr, 203
Troy, MI 480841744
Credentials & registration
- NPI registered
- December 2016 — 10 yrs on file
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Michigan #4704272498
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356884746. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$122
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alexion Pharmaceuticals, INC. | 1 | $121.84 |
By nature of payment
Frequently asked questions
What is Dr. Michael Licata's medical specialty?
Dr. Michael Licata practices Certified Registered Nurse Anesthetist in Royal Oak, MI.
Where does Dr. Michael Licata practice?
Dr. Michael Licata practices at 3601 W 13 Mile RD, Royal Oak, MI 480736712. Office phone: 2488987784.
What is Dr. Michael Licata's NPI?
Dr. Michael Licata's National Provider Identifier (NPI) is 1356884746, issued by NPPES.
Does Dr. Michael Licata accept Medicare assignment?
Dr. Michael Licata does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.