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

Active since April 28, 2006
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: August 02, 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 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

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
Expired · Jul 24, 2026
CLIA Number19D0978940
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
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.

Other Providers at the Same Location NPPES 4

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

Pediatrics
401 YOUNGSVILLE HWY, STE 100
LAFAYETTE, LA 70508
Allergy & Immunology
401 YOUNGSVILLE HWY, SUITE 100
LAFAYETTE, LA 70508
Internal Medicine
401 YOUNGSVILLE HWY, SUITE 200B
LAFAYETTE, LA 70508
Pediatrics
401 YOUNGSVILLE HWY, SUITE 100
LAFAYETTE, LA 70508

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.

What insurance does Pediatric Group Of Acadiana, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer 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 20 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.