DR. KENNETH DIZON (DO) – Cardiovascular Disease Physician, NPI 1346252129

DR. KENNETH DIZON (DO) is a healthcare provider. based in Barstow, California. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials DO. They hold a License No. 4682 (AZ). The NPI Number for DR. KENNETH DIZON (DO) is 1346252129

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH DIZON (DO)
NPI
1346252129
Phone
(760) 256-1004
Address
121 S 7th Ave
Enumeration Date
12 August 2006
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
3577594449
Group Practice PAC ID
7113906421
Professional Enrollment ID
I20070924000327
Address ID
AZ853061870GL5859XBLVD401

Contacts

Secure Messaging
lmunhall@phoenixheart.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

21,511 INTERNAL MEDICINE in CA

Provider Addresses for DR. KENNETH DIZON (DO)

  • 121 S 7th Ave

    Barstow, CA 923113058

    Phone: (760) 256-1004

    Fax: (760) 256-1055

    Type: Location

  • 930 W Main St

    Barstow, CA 923112654

    Phone: (760) 256-1004

    Fax: (760) 256-1055

    Type: Location

  • West Talavi Boulevard, Glendale, Maricopa County, Arizona, 85306, United States

    GLENDALE, AZ 853061870

    Phone: (602) 298-7777

    Fax: (623) 930-6060

    Type: Mailing

  • 5859, West Talavi Boulevard, Saddlehorn Ranch, Glendale, Maricopa County, Arizona, 85306, United States

    STE 100

    GLENDALE, AZ 853061870

    Phone: (602) 298-7777

    Fax: (623) 930-6060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,826.

Total Amount is formed as General ($1,826) + Research ($0) + Ownership ($0) = $1,826.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($351).

Total Amount

$1,826

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,826

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070924000327ICardiovascular Disease (Cardiology)AZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes473188$0
J2785Injection, regadenoson, 0.1 mg24060$0
99214Established patient office or other outpatient visit, 30-39 minutes18095$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function174174$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9896$0
View full utilization report →

Insurance plans in this area (ZIP 92311)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113906421View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Physician AssistantAZ
Nurse PractitionerAZ
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyAZ
Cardiovascular Disease (Cardiology)CO
Cardiovascular Disease (Cardiology)AZ
Cardiovascular Disease (Cardiology)AZ
Cardiovascular Disease (Cardiology), Internal MedicineAZ
Cardiovascular Disease (Cardiology)AZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KENNETH DIZON (DO)'s NPI?
Yes. DR. KENNETH DIZON (DO) is listed with NPI 1346252129 in the public NPI dataset.
Does the file indicate DR. KENNETH DIZON (DO) is practicing under active NPI?
Directory data currently reports DR. KENNETH DIZON (DO) as active.
What is DR. KENNETH DIZON (DO) best known for clinically?
Directory data describes DR. KENNETH DIZON (DO) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KENNETH DIZON (DO)?
DR. KENNETH DIZON (DO)'s geographic hint is Barstow, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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