SOUTHCARE MEDICAL LLC
NPI 1093170433
Clinic/Center - Primary Care in Lafayette, LA
About Southcare Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHCARE MEDICAL LLC (NPI 1093170433) is a healthcare organization registered as a primary care in Lafayette, Louisiana and active in the NPI registry since December 2015. The organization holds 2 active CLIA laboratory certificates and lists Budi Sugeng, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southcare Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southcare Medical LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D2091426
Southcare Medical LLC (lafayette) · Lafayette, LACertificate of Waiver 19D2035943
Southcare Medical LLC · Abbeville, LAFrequently 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 Southcare Medical LLC's NPI number?
The NPI number for Southcare Medical LLC is 1093170433. It was assigned to this organization in the NPPES registry on December 30, 2015.
Where is Southcare Medical LLC located?
Southcare Medical LLC is located at 110 Curran Ln, Lafayette, LA 70506. The listed phone number is (337) 706-7700.
What is Southcare Medical LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Southcare Medical LLC enrolled in Medicare?
Yes. Southcare Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southcare Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southcare Medical LLC, in Nurse Practitioner and Pediatric Medicine. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southcare Medical LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Southcare Medical LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list Southcare Medical LLC 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 Southcare Medical LLC was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Southcare Medical Llc · NPI 1093170433
Primary Care organization in Lafayette, Louisiana. Organization record, active in the CMS NPPES registry since December 30, 2015.
## Identity
- **NPI:** 1093170433 (Entity type: Organization)
- **Enumerated:** December 30, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Budi Sugeng, MD
## Practice location
- **Address:** 110 CURRAN LN, Lafayette, LA 70506
- **Phone:** (337) 706-7700 · **Fax:** (337) 706-7710
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Pediatric Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2022
- **Other identifiers:** Other 19D2091426 (LA); Medicaid 2409930 (LA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093170433) · Data from the CMS NPPES public registry.