SUNNYVALE FAMILY CLINIC
NPI 1093503963
Nurse Practitioner - Family in Mesquite, TX
About Sunnyvale Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNNYVALE FAMILY CLINIC (NPI 1093503963) is a healthcare organization registered as a family in Mesquite, Texas and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Jaisy Raju, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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)
Sunnyvale Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sunnyvale Family Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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
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 45D2323620
Sunnyvale Family Clinic LLC · Mesquite, TXFrequently 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 Sunnyvale Family Clinic's NPI number?
The NPI number for Sunnyvale Family Clinic is 1093503963. It was assigned to this organization in the NPPES registry on April 29, 2025. The provider is also known as Jaisy Raju LLC.
Where is Sunnyvale Family Clinic located?
Sunnyvale Family Clinic is located at 3030 Towne Centre Dr Ste 100, Mesquite, TX 75150. The listed phone number is (817) 898-7860.
What is Sunnyvale Family Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sunnyvale Family Clinic enrolled in Medicare?
Yes. Sunnyvale Family Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sunnyvale Family Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sunnyvale Family Clinic. 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 Sunnyvale Family Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2323620) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sunnyvale Family Clinic accept?
Health plans from Blue Cross and Blue Shield of Texas list Sunnyvale Family Clinic 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 Sunnyvale Family Clinic was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Sunnyvale Family Clinic · NPI 1093503963
Family organization in Mesquite, Texas. Organization record, active in the CMS NPPES registry since April 29, 2025.
## Identity
- **NPI:** 1093503963 (Entity type: Organization)
- **Enumerated:** April 29, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** JAISY RAJU LLC (Other Name)
- **Organization subpart:** No
- **Authorized official:** Jaisy Raju, OWNER
## Practice location
- **Address:** 3030 TOWNE CENTRE DR STE 100, Mesquite, TX 75150-4134
- **Phone:** (817) 898-7860 · **Fax:** (469) 691-2289
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093503963) · Data from the CMS NPPES public registry.