NPIMap

Individual provider Active NPI

John Michael Barraza II, M.D.

  • Diagnostic Radiology Physician
  • Baton Rouge, LA
National Provider Identifier
1487934584
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
53392 Issued in TN
Practice address
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone
(225) 757-0552
Fax
(225) 763-9997
NPI assigned
Aug 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 322304 LA
Student in an Organized Health Care Education/Training Program 390200000X INTERN LA
Student in an Organized Health Care Education/Training Program 390200000X MT210265 PA
Diagnostic Radiology Physician 2085R0202X 53392 TN Primary

Addresses

Primary practice location

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375

Mailing address

8230 Summa Ave
Ste C
Baton Rouge, LA 70809-3465
Phone (225) 757-0552

Other identifiers 3

IdentifierTypeStateIssuer
Q028867MedicaidTN
Q028867OtherTNTSC
7100478620MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200622001459 LA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3072816180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates LLCGroup PAC ID 8628041464, 83 clinicians

Practice addresses (Care Compare)

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 757-0552

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
INTERNLAMDEmergency Medicine Physician
322304LAMDDiagnostic Radiology Physician
53392TNMDDiagnostic Radiology Physician
MT210265PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Orthopaedic Clinic of Monroe CurrentSince Feb 1, 2026 Accepting new patients
Orthopaedic Clinic of Monroe CurrentSince Feb 1, 2026 Accepting new patients
Administrators of the Tulane Educational Fund PastSince Jun 21, 2020 Accepting new patients

Locations

100 Womans Way
Baton Rouge, LA 70817
Phone (225) 293-2324

8230 Summa Ave
Ste C
Baton Rouge, LA 70809

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

1100 N 18th St
Ste 100
Monroe, LA 71201
Phone (318) 361-9900

1501 Louisville Ave
Monroe, LA 71201
Phone 31832384514310

707 S Vienna St
Ruston, LA 71270
Phone (318) 224-3044

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

Interoperability endpoints

  • Direct secure messaging: jbarraza21487@womanshospital.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1487934584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 SUMMA AVE",
            "address_2": "STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093465",
            "telephone_number": "225-757-0552",
            "fax_number": "225-763-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084375",
            "telephone_number": "225-757-0552",
            "fax_number": "225-763-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAZA",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "322304",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": "INTERN",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT210265",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "53392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028867",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSC",
            "identifier": "Q028867",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100478620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.