BELLA FAMILY MEDICAL
NPI 1174808174
Family Medicine in Baton Rouge, LA
About Bella Family Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BELLA FAMILY MEDICAL (NPI 1174808174) is a healthcare organization registered as a family medicine in Baton Rouge, Louisiana and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Kendall Johnson, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bella Family Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Bella Family Medical, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 19D0699505
Baton Rouge General Physicians-Family Medicine · Baton Rouge, 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 Baton Rouge General Physicians Medical Group, LLC's NPI number?
The NPI number for Baton Rouge General Physicians Medical Group, LLC is 1174808174. It was assigned to this organization in the NPPES registry on October 21, 2011. The provider is doing business as Bella Family Medical.
Where is Baton Rouge General Physicians Medical Group, LLC located?
Baton Rouge General Physicians Medical Group, LLC is located at 10127 Florida Blvd, Baton Rouge, LA 70815. The listed phone number is (225) 272-0106.
What is Baton Rouge General Physicians Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Baton Rouge General Physicians Medical Group, LLC enrolled in Medicare?
Yes. Baton Rouge General Physicians Medical Group, LLC is registered in the Medicare PECOS enrollment system.
When is Baton Rouge General Physicians Medical Group, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Baton Rouge General Physicians Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Baton Rouge General Physicians Medical Group, LLC. 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. The largest specialties are Family Practice (4), Nurse Practitioner (2) and Internal Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Baton Rouge General Physicians Medical Group, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D0699505) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Baton Rouge General Physicians Medical Group, LLC was last updated on August 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Bella Family Medical · NPI 1174808174
Family Medicine organization in Baton Rouge, Louisiana. Organization record, active in the CMS NPPES registry since October 21, 2011.
## Identity
- **NPI:** 1174808174 (Entity type: Organization)
- **Enumerated:** October 21, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Baton Rouge General Physicians Medical Group, Llc
- **Organization subpart:** No
- **Authorized official:** Kendall Johnson, CFO
## Practice location
- **Address:** 10127 FLORIDA BLVD, Baton Rouge, LA 70815-1765
- **Phone:** (225) 272-0106
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), Nurse Practitioner (2), Internal Medicine (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2014
- **Other identifiers:** Medicare PIN 5F809 (LA); Medicaid 1378861 (LA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174808174) · Data from the CMS NPPES public registry.