Roberto Marasigan Barretto, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

4301031958 Issued in MI

Practice address

24400 Greater Mack Ave
St Clair Shores, MI 48080-1340

Phone

(586) 778-1881

Fax

(586) 778-0667

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kenneth Dziuba MD PC

  • Internal Medicine Physician
  • Eastpointe, MI
  • NPI 1891955597
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114997764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24400 GREATER MACK AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801340",
            "telephone_number": "586-778-1881",
            "fax_number": "586-778-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 GREATER MACK AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801340",
            "telephone_number": "586-778-1881",
            "fax_number": "586-778-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETTO",
        "first_name": "ROBERTO",
        "middle_name": "MARASIGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301031958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4617850",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mendy Evonne Barker, ASSOCIATES
• Penelope Ann Barker
• Nichole Therese Barkoff, PAC
• Benjamin Matthew Barnes, BCBA, LBA
• Kevin Eugene Barnhill, LPC
• Carla Caringi Barron, LMSW
• Barry a. Mentzel, D.D.S., P.C.
• Elizabeth Barthol
• Amanda M Basil-Porter, PA-C
• Sonia Basta

• Legal Medicine in St Clair Shores, MI
• Providers in St Clair Shores, MI by specialty
• Legal Medicine in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.