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MR. BUDI N SUGENG MD
NPI 1649303330
Pediatrics in Abbeville, LA

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment
1305 N STATE ST, ABBEVILLE, LA 70510(337) 422-6240(337) 422-6241 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Oct 5, 2022 (2 updates tracked since 2022).

About Mr. Budi N Sugeng Md NPPES

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

MR. BUDI N SUGENG MD (NPI 1649303330) is an individual pediatrics provider in Abbeville, Louisiana, licensed in Louisiana (MD200292) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2005).

NPPES Registry Identity

NPI1649303330
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. BUDI N SUGENGCredential: MD
Location Address1305 N STATE STAbbeville, LA 70510-2825
Mailing Address1305 N State StAbbeville, LA 70510-2825 · (337) 422-6240 · Fax (337) 422-6241
Phone(337) 422-6240
Fax(337) 422-6241
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2005
Enumeration DateMarch 13, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1649303330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · MD200292
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1305 N STATE ST, Abbeville, LA 70510
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Other Identifiers 3

Medicaid1330531LA
Other200292LA · Md
Other33165LA · La Board Of Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Budi N Sugeng Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698999001
PECOS Enrollment IDI20140604002345
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$50.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SOUTHCARE MEDICAL LLC
Clinic/Center (Rural Health)
1305 N STATE ST
ABBEVILLE, LA 70510
Vermilion Parish (337) 422-6240
SIMONE ADEL PITRE C-NP
Nurse Practitioner (Primary Care)
1305 N STATE ST
ABBEVILLE, LA 70510
Vermilion Parish (337) 422-6240
ANITA DEBORAH M.D.
Internal Medicine
1305 N STATE ST
ABBEVILLE, LA 70510
Vermilion Parish (337) 422-6240
YELENA MAGAY
Nurse Practitioner (Family)
1305 N STATE ST
ABBEVILLE, LA 70510
Vermilion Parish (337) 422-6240

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 Budi Sugeng's NPI number?

The NPI number for Budi Sugeng is 1649303330. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Budi Sugeng located?

Budi Sugeng practices at 1305 N State St, Abbeville, LA 70510. The listed phone number is (337) 422-6240.

What is Budi Sugeng's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Budi Sugeng enrolled in Medicare?

Yes. Budi Sugeng is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Budi Sugeng accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Budi Sugeng 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 Budi Sugeng was last updated on March 7, 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.