SUNSHINE PEDIATRIC AND FAMILY CLINIC LLC
NPI 1619618964
Clinic/Center - Rural Health in Breaux Bridge, LA

Active since April 01, 2022CLIA 19D2259423 · Waiver
555 LAKES BLVD, BREAUX BRIDGE, LA 70517(337) 332-3971(337) 735-3046 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sunshine Pediatric And Family Clinic Llc NPPES

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

SUNSHINE PEDIATRIC AND FAMILY CLINIC LLC (NPI 1619618964) is a healthcare organization registered as a rural health in Breaux Bridge, Louisiana and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Srinivasa Reddy Yerasi, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1619618964
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSUNSHINE PEDIATRIC AND FAMILY CLINIC LLC
Location Address555 LAKES BLVDBreaux Bridge, LA 70517-3240
Mailing Address555 Lakes BlvdBreaux Bridge, LA 70517-3240 · (337) 332-3971 · Fax (337) 735-3046
Fax(337) 735-3046
Organization SubpartNo
Authorized OfficialSrinivasa Reddy YerasiPediatrician · (337) 332-3971
Enumeration DateApril 1, 2022
Last NPPES UpdateJanuary 20, 2023
NPPES CertifiedJanuary 20, 2023
✔ NPI 1619618964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
555 LAKES BLVD, Breaux Bridge, LA 70517

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)

Sunshine Pediatric And Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Sunshine Pediatric And Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Pediatric Medicine
NPI 1043529548
555 LAKES BLVD
Breaux Bridge, LA 70517
(337) 332-3971
✔ PECOSSame address
Pediatric Medicine
NPI 1104159243
555 LAKES BLVD
Breaux Bridge, LA 70517
(337) 332-3971
✔ PECOSSame address
Nurse Practitioner
NPI 1528428844
601 E BRIDGE ST
Breaux Bridge, LA 70517
(337) 332-2857
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1619145786
104 GENEVIEVE DR
Lafayette, LA 70503
(337) 984-0110
✔ PECOS12 mi
Nurse Practitioner
NPI 1669108080
827 N UNION ST
Opelousas, LA 70570
(337) 948-1802
✔ PECOS19 mi
Nurse Practitioner
NPI 1548799331
155 ODD FELLOWS RD
Crowley, LA 70526
(337) 514-5200
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1750881116
155 ODD FELLOWS RD
Crowley, LA 70526
(337) 514-5200
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1366473100
1020 MAIN ST
Hackberry, LA 70645
(337) 788-1081
✔ PECOS✔ Accepts Medicare90 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 19D2259423

Sunshine Pediatric And Family Clinic LLC · Breaux Bridge, LA
Active · expires May 4, 2028
CLIA Number19D2259423
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorSrinivasa R. Yerasi
Laboratory Phone(337) 332-3971
Laboratory LocationSunshine Pediatric And Family Clinic LLC555 Lakes Blvd, Breaux Bridge, LA 70517
CLIA data matches this NPI record on: Address 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 Pediatric And Family Clinic LLC's NPI number?

The NPI number for Sunshine Pediatric And Family Clinic LLC is 1619618964. It was assigned to this organization in the NPPES registry on April 1, 2022.

Where is Sunshine Pediatric And Family Clinic LLC located?

Sunshine Pediatric And Family Clinic LLC is located at 555 Lakes Blvd, Breaux Bridge, LA 70517. The listed phone number is (337) 332-3971.

What is Sunshine Pediatric And Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Sunshine Pediatric And Family Clinic LLC enrolled in Medicare?

Yes. Sunshine Pediatric And Family Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunshine Pediatric And Family Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Sunshine Pediatric And Family Clinic 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 (6) and Pediatric Medicine (2). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sunshine Pediatric And Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2259423) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sunshine Pediatric And Family Clinic 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 3 other insurers list Sunshine Pediatric And Family Clinic 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 Sunshine Pediatric And Family Clinic LLC was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.