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DR. KIRANMAI BANDARU M.D.
NPI 1104159243
Pediatrics in Breaux Bridge, LA

Active since September 08, 2009PECOS Enrolled
555 LAKES BLVD, BREAUX BRIDGE, LA 70517(337) 332-3971(337) 332-3973 Get Directions Write a Review

NPPES record last updated: September 10, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kiranmai Bandaru M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIRANMAI BANDARU M.D. (NPI 1104159243) is an individual pediatrics provider in Breaux Bridge, Louisiana, licensed in Louisiana (MD.203991) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104159243
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KIRANMAI BANDARUCredential: M.D.
Location Address555 LAKES BLVDBreaux Bridge, LA 70517-3240
Mailing Address401 Youngsville Hwy, Suite 100Lafayette, LA 70508-5173 · (337) 330-0031 · Fax (337) 330-0059
Phone(337) 332-3971
Fax(337) 332-3973
Sole ProprietorNo
Enumeration DateSeptember 8, 2009
Last NPPES UpdateSeptember 10, 2016
✔ NPI 1104159243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in LA · MD.203991✔ Licensed in NY · 003436
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
555 LAKES BLVD, Breaux Bridge, LA 70517
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Other Identifiers 1

Medicaid2125532LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kiranmai Bandaru M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kiranmai Bandaru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sunshine Pediatric And Family Clinic LLC
Same address
Rural Health
555 LAKES BLVD
Breaux Bridge, LA 70517
  • Reassigned Medicare billing, Louisiana enrollment
  • 8 clinicians in this Medicare group
NPI 1619618964 (337) 332-3971

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70517 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SRINIVASA REDDY YERASI M.D
Pediatrics
555 LAKES BLVD
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-3971
PEDIATRIC GROUP OF ACADIANA, LLC
Clinic/Center (Rural Health)
555 LAKES BLVD
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-3971
SUNSHINE PEDIATRIC AND FAMILY CLINIC LLC
Clinic/Center (Rural Health)
555 LAKES BLVD
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-3971
YERASI PEDIATRIC AND FAMILY GROUP OF ACADIANA LLC
Pediatrics
555 LAKES BLVD
BREAUX BRIDGE, LA 70517
St. Martin Parish (270) 246-0568
SKAT HEALTH CARE
Pediatrics
555 LAKES BLVD
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-3975

Frequently 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 Kiranmai Bandaru's NPI number?

The NPI number for Kiranmai Bandaru is 1104159243. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Where is Kiranmai Bandaru located?

Kiranmai Bandaru practices at 555 Lakes Blvd, Breaux Bridge, LA 70517. The listed phone number is (337) 332-3971.

What is Kiranmai Bandaru's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kiranmai Bandaru enrolled in Medicare?

Yes. Kiranmai Bandaru is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kiranmai Bandaru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiranmai Bandaru reassigns Medicare benefits to Sunshine Pediatric And Family Clinic LLC (Breaux Bridge, LA). The 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 Kiranmai Bandaru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kiranmai Bandaru 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 3 other insurers list Kiranmai Bandaru 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 Kiranmai Bandaru was last updated on September 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.