PEDIATRIC GROUP OF ACADIANA, LLC
NPI 1265499628
Specialist in Lafayette, LA

Active since April 28, 2006CLIA 19D0978940 · Accreditation
401 YOUNGSVILLE HWY, SUITE 100, LAFAYETTE, LA 70508(337) 330-0031(337) 735-3059 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pediatric Group Of Acadiana, Llc NPPES

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

PEDIATRIC GROUP OF ACADIANA, LLC (NPI 1265499628) is a healthcare organization registered as a specialist in Lafayette, Louisiana and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through July 24, 2028 and lists Antoinette Rabenaldt, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1265499628
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePEDIATRIC GROUP OF ACADIANA, LLC
Location Address401 YOUNGSVILLE HWY, SUITE 100Lafayette, LA 70508-5173
Mailing Address401 Youngsville Hwy, Suite 100Lafayette, LA 70508-5173 · (337) 330-0031 · Fax (337) 330-0059
Fax(337) 735-3059
Organization SubpartNo
Authorized OfficialAntoinette RabenaldtCredentialing Coordinator · (337) 330-2576
Enumeration DateApril 28, 2006
Last NPPES UpdateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1265499628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
401 YOUNGSVILLE HWY, Lafayette, LA 70508

Other Identifiers 1

Medicaid1440604LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Pediatric Group Of Acadiana, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Pediatric Group Of Acadiana, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner14
Pediatric Medicine7
Emergency Medicine1
Internal Medicine1

Nearest to this location (20)

See all 23
Pediatric Medicine
NPI 1154322923
401 YOUNGSVILLE HWY SUITE 100
Lafayette, LA 70508
(337) 330-0031
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245593979
401 YOUNGSVILLE HWY SUITE 200B
Lafayette, LA 70508
(337) 330-0031
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992402747
401 YOUNGSVILLE HWY STE 100
Lafayette, LA 70508
(337) 330-8660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134668411
203 ENERGY PKWY
Lafayette, LA 70508
(337) 266-8483
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1841700556
1101 S COLLEGE RD STE 201
Lafayette, LA 70503
(337) 264-7209
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1952042822
1119 N MAIN ST
Saint Martinville, LA 70582
(337) 394-7774
✔ PECOS✔ Accepts Medicare9.8 mi
Nurse Practitioner
NPI 1205178217
1119 N MAIN ST
Saint Martinville, LA 70582
(337) 394-7774
✔ PECOS9.8 mi
Nurse Practitioner
NPI 1336564533
1119 N MAIN ST
Saint Martinville, LA 70582
(337) 394-7774
✔ PECOS9.8 mi
Emergency Medicine
NPI 1649603291
4141 N UNIVERSITY AVE
Carencro, LA 70520
(337) 565-2692
✔ PECOS12 mi
Pediatric Medicine
NPI 1902842016
4141 N UNIVERSITY AVE
Carencro, LA 70520
(337) 565-2692
✔ PECOS12 mi
Nurse Practitioner
NPI 1114381217
4141 N UNIVERSITY AVE
Carencro, LA 70520
(337) 565-2692
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1093433229
2825 GRAND POINT HWY LOT 6
Henderson, LA 70517
(337) 454-6238
✔ PECOS✔ Accepts Medicare15 mi
Pediatric Medicine
NPI 1366443467
520 N LEWIS ST SUITE 202
New Iberia, LA 70563
(337) 367-2001
✔ PECOS✔ Accepts Medicare16 mi
Pediatric Medicine
NPI 1891103222
2308 E MAIN ST SUITE G
New Iberia, LA 70560
(337) 367-2001
✔ PECOS17 mi
Pediatric Medicine
NPI 1588942064
2308 E MAIN ST SUITE G
New Iberia, LA 70560
(337) 367-2001
✔ PECOS17 mi
Pediatric Medicine
NPI 1912118217
2308 E MAIN ST SUITE G
New Iberia, LA 70560
(337) 367-2001
✔ PECOS17 mi
Pediatric Medicine
NPI 1437556289
2308 E MAIN ST STE G
New Iberia, LA 70560
(337) 367-2001
✔ PECOS17 mi
Nurse Practitioner
NPI 1003227513
2309 E MAIN ST SUITE 301
New Iberia, LA 70560
(337) 364-4415
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1134828262
1307 CROWLEY RAYNE HWY STE C
Crowley, LA 70526
(337) 250-4710
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1649036062
1048 E EBEY ST
Church Point, LA 70525
(337) 684-3000
✔ PECOS✔ Accepts Medicare22 mi
See all 23 clinicians

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 Accreditation 19D0978940

Pediatric Group Of Acadiana Broussard Location · Lafayette, LA
Active · expires Jul 24, 2028
CLIA Number19D0978940
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2026
Certificate Expiration DateJuly 24, 2028
Laboratory DirectorJibran Atwi
Laboratory Phone(337) 330-0031
Laboratory LocationPediatric Group Of Acadiana Broussard Location401 Youngsville Highway, Ste 100, Lafayette, LA 70508
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Pediatric Group Of Acadiana, LLC's NPI number?

The NPI number for Pediatric Group Of Acadiana, LLC is 1265499628. It was assigned to this organization in the NPPES registry on April 28, 2006.

Where is Pediatric Group Of Acadiana, LLC located?

Pediatric Group Of Acadiana, LLC is located at 401 Youngsville Hwy Suite 100, Lafayette, LA 70508. The listed phone number is (337) 330-0031.

What is Pediatric Group Of Acadiana, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pediatric Group Of Acadiana, LLC enrolled in Medicare?

Yes. Pediatric Group Of Acadiana, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Group Of Acadiana, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 4 Medicare specialties reassign their Medicare billing to Pediatric Group Of Acadiana, 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 Nurse Practitioner (14), Pediatric Medicine (7) and Emergency Medicine (1). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pediatric Group Of Acadiana, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 19D0978940) is associated with this NPI, valid through July 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Group Of Acadiana, 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 Pediatric Group Of Acadiana, 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 Pediatric Group Of Acadiana, LLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.