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SUNRISE PEDIATRICS LLC
NPI 1891939989
Pediatrics in Lake Wales, FL

Active since April 21, 2009CLIA 10D1100078 · Waiver
25103 HWY 27, LAKE WALES, FL 33859(863) 734-0344(877) 658-8666 Get Directions Write a Review

NPPES record last updated: November 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 27, 2025, Apr 25, 2019 (2 updates tracked since 2019).

About Sunrise Pediatrics Llc NPPES

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

SUNRISE PEDIATRICS LLC (NPI 1891939989) is a healthcare organization registered as a pediatrics in Lake Wales, Florida and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through May 28, 2027 and lists Jagdeep Pruthi, Owner, as its authorized official.

NPPES Registry Identity

NPI1891939989
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSUNRISE PEDIATRICS LLC
Location Address25103 HWY 27Lake Wales, FL 33859-6843
Mailing Address25103 Hwy 27Lake Wales, FL 33859-6843 · (863) 734-0344 · Fax (877) 658-8666
Phone(863) 734-0344
Fax(877) 658-8666
Organization SubpartNo
Authorized OfficialJagdeep PruthiOwner · (863) 734-0344
Enumeration DateApril 21, 2009
Last NPPES UpdateNovember 27, 20252 updates tracked since enumeration
NPPES CertifiedNovember 27, 2025
✔ NPI 1891939989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
25103 HWY 27, Lake Wales, FL 33859
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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 Waiver 10D1100078

Sunrise Pediatrics LLC · Lake Wales, FL
Active · expires May 28, 2027
CLIA Number10D1100078
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorJagdeep S. Pruthi
Laboratory Phone(863) 734-0344
Laboratory LocationSunrise Pediatrics LLC25103 Hwy 27, Lake Wales, FL 33859
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JAGDEEP SINGH PRUTHI M.D.
Pediatrics
25103 HWY 27
LAKE WALES, FL 33859
Polk County (863) 734-0344

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 Sunrise Pediatrics LLC's NPI number?

The NPI number for Sunrise Pediatrics LLC is 1891939989. It was assigned to this organization in the NPPES registry on April 21, 2009.

Where is Sunrise Pediatrics LLC located?

Sunrise Pediatrics LLC is located at 25103 Hwy 27, Lake Wales, FL 33859. The listed phone number is (863) 734-0344.

What is Sunrise Pediatrics LLC's specialty?

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

Does Sunrise Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1100078) is associated with this NPI, valid through May 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sunrise Pediatrics LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Sunrise Pediatrics 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 Sunrise Pediatrics LLC was last updated on November 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.