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SUNSHINE PEDIATRICS OF LOUISVILLE LLC
NPI 1437539145
Family Medicine in Paintsville, KY

Active since June 08, 2015CLIA 18D2144863 · Waiver
822 S MAYO TRL, PAINTSVILLE, KY 41240(606) 789-5541(606) 789-9445 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Nov 13, 2017 (2 updates tracked since 2017).

About Sunshine Pediatrics Of Louisville Llc NPPES

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

SUNSHINE PEDIATRICS OF LOUISVILLE LLC (NPI 1437539145) is a healthcare organization registered as a family medicine in Paintsville, Kentucky and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Carla F Branch, Billing Office Manager, as its authorized official.

NPPES Registry Identity

NPI1437539145
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUNSHINE PEDIATRICS OF LOUISVILLE LLC
Location Address822 S MAYO TRLPaintsville, KY 41240-1384
Mailing Address191 Masjid AvePrestonsburg, KY 41653-8634 · (606) 789-5541 · Fax (606) 789-9445
Phone(606) 789-5541
Fax(606) 789-9445
Organization SubpartNo
Authorized OfficialCarla F BranchBilling Office Manager · (606) 789-5541
Enumeration DateJune 8, 2015
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1437539145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
822 S MAYO TRL, Paintsville, KY 41240
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunshine Pediatrics Of Louisville Llc 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 Sunshine Pediatrics Of Louisville LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yassin Khattab, M.D.
Pediatric Medicine
NPI 1376650317
822 S MAYO TRL
Paintsville, KY 41240
(606) 789-5541
✔ PECOS✔ Accepts Medicare1.3 mi

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 18D2144863

Sunshine Pediatrics Of Louisville · Louisville, KY
Active · expires Feb 25, 2028
CLIA Number18D2144863
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorDr. Khattab Yassin
Laboratory Phone(606) 789-5541
Laboratory LocationSunshine Pediatrics Of Louisville1005 Dupont Sq Ste B, Louisville, KY 40207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sunshine Pediatrics Of Louisville LLC's NPI number?

The NPI number for Sunshine Pediatrics Of Louisville LLC is 1437539145. It was assigned to this organization in the NPPES registry on June 8, 2015.

Where is Sunshine Pediatrics Of Louisville LLC located?

Sunshine Pediatrics Of Louisville LLC is located at 822 S Mayo Trl, Paintsville, KY 41240. The listed phone number is (606) 789-5541.

What is Sunshine Pediatrics Of Louisville LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sunshine Pediatrics Of Louisville LLC enrolled in Medicare?

Yes. Sunshine Pediatrics Of Louisville LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunshine Pediatrics Of Louisville LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Sunshine Pediatrics Of Louisville 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sunshine Pediatrics Of Louisville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2144863) is associated with this NPI, valid through February 25, 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 Sunshine Pediatrics Of Louisville LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.