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

Dr. Kieron Michael Dillingham, MD

Individual provider Internal Medicine Physician · NPI 1649340977

Dr. Kieron Michael Dillingham, MD is an Internal Medicine in Baton Rouge, Louisiana. Graduated from Texas Tech University Health Science Center School of Medicine in 2005, 21 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana, Mississippi and Texas.

Years since qualifying
21
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
LA, MS, TX
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5000 Hennessy Blvd First Fl
Baton Rouge, LA 70808-4375
Phone: (225) 765-4050
Fax: (225) 765-4046
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 205961 (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 20502 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence M7146 (TX)
Hospitalist Physician Taxonomy 208M00000X · Licence 205961 (LA)

Record details

NPI number1649340977
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Baton Rouge