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

Dr. Michael Barretto Dizon, MD

Individual provider Family Medicine Physician · NPI 1730495284

Dr. Michael Barretto Dizon, MD is a Family Practice in Baton Rouge, Louisiana. Qualified in 2006, 20 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana and Michigan.

Years since qualifying
20
Licensed in
LA, MI
In the registry since
2010
Specialties on file
3
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

5000 Hennessy Blvd
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

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 206216 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301097358 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 206216 (LA)

Record details

NPI number1730495284
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2010
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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