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MICHAEL E. DUNHAM M.D.
NPI 1427025675
Otolaryngology - Pediatric Otolaryngology in Baton Rouge, LA

Active since March 07, 2006PECOS Enrolled
4950 ESSEN LN STE 400, BATON ROUGE, LA 70809(225) 765-1765(225) 765-1768 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael E. Dunham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL E. DUNHAM M.D. (NPI 1427025675) is an individual pediatric otolaryngology provider in Baton Rouge, Louisiana, licensed in California (C52086) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1427025675
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameMICHAEL E. DUNHAMCredential: M.D.
Location Address4950 ESSEN LN STE 400Baton Rouge, LA 70809-3738
Mailing Address7060 N Recreation Ave, Suite 101Fresno, CA 93720-8022 · (559) 916-3406
Phone(225) 765-1765
Fax(225) 765-1768
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateSeptember 3, 2021
NPPES CertifiedSeptember 3, 2021
✔ NPI 1427025675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
Licenses✔ Licensed in CA · C52086✔ Licensed in LA · MD.207839
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
4950 ESSEN LN STE 400, Baton Rouge, LA 70809
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Secondary Practice Location 1

Location 17060 N Recreation Ave, Suite 101Fresno, CA 93720-8022 · Phone (559) 353-6453

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael E. Dunham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Dunham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Our Lady Of The Lake Physician Group LLC
0.2 mi
Internal Medicine
7777 HENNESSY BLVD, STE 6002
Baton Rouge, LA 70808
  • Reassigned Medicare billing, Louisiana enrollment
  • 873 clinicians in this Medicare group
NPI 1033494943 (225) 765-7727
Louisiana State University School Of Med In New Orleans Faculty Grou
67 mi
Pediatrics
200 HENRY CLAY AVE
New Orleans, LA 70118
  • Reassigned Medicare billing, Louisiana enrollment
  • 224 clinicians in this Medicare group
NPI 1932492626 (504) 896-9589

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JACQUELINE MARIE LORIO LCSW
Social Worker (Clinical)
4950 ESSEN LN STE 400
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 765-1765
STEPHEN HERNANDEZ MD
Otolaryngology
4950 ESSEN LN STE 400
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 765-1765
RULA MUALLA M.D.
Otolaryngology
4950 ESSEN LN STE 400
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 765-1765
DR. MICHAEL DAVID DILEO M.D.
Otolaryngology
4950 ESSEN LN STE 400
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 765-1765
JENNIFER LAUREN WOMACK PA-C
Physician Assistant
4950 ESSEN LN STE 400
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 765-5864
DR. JUSTIN COLE SOWDER MD
Otolaryngology
4950 ESSEN LN STE 400
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 765-1765
LAURA TOUPS HETZLER M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
4950 ESSEN LN STE 400
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 765-1765
TERRIE TERRELL THOMPKINS MD
Nurse Practitioner
4950 ESSEN LN STE 400
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 765-1765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Dunham's NPI number?

The NPI number for Michael Dunham is 1427025675. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Michael Dunham located?

Michael Dunham practices at 4950 Essen Ln Ste 400, Baton Rouge, LA 70809. The listed phone number is (225) 765-1765.

What is Michael Dunham's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Michael Dunham enrolled in Medicare?

Yes. Michael Dunham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Dunham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Dunham reassigns Medicare benefits to 2 organizations: Our Lady Of The Lake Physician Group LLC (Baton Rouge, LA) and Louisiana State University School Of Med In New Orleans Faculty Grou (New Orleans, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Dunham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Dunham accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Michael Dunham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Dunham was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.