Sunrise Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SUNRISE PEDIATRICS LLC

Practice address

25103 Hwy 27
Lake Wales, FL 33859-6843

Phone

(863) 734-0344

Fax

(877) 658-8666

NPI assigned

Apr 21, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jagdeep Pruthi, MDNPI 1609018183

Title

Owner

Phone

(863) 734-0344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jagdeep Singh Pruthi, M.D.

  • Pediatrics Physician
  • Lake Wales, FL
  • NPI 1609018183
  Medicare reassignment NPD Authorized official
• Kulmeet S Kundlas, M.D.

  • Internal Medicine Physician
  • Sebring, FL
  • NPI 1336293497
  NPD (past)
• Sukumar Mathan, M.D.

  • Internal Medicine Physician
  • Haines City, FL
  • NPI 1386798452
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764201600000",
    "number": "1891939989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25103 HWY 27",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338596843",
            "telephone_number": "863-734-0344",
            "fax_number": "877-658-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25103 HWY 27",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338596843",
            "telephone_number": "863-734-0344",
            "fax_number": "877-658-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A",
        "authorized_official_last_name": "PRUTHI",
        "authorized_official_first_name": "JAGDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-734-0344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michele Steele, APRN
• Floyd Allen Stern, MD
• La Kenya Delon Stone, CNA
• Cynthia Christine Strazzulla, MS-CCC, SLP
• Kaycie Samantha Stringer, ARNP
• Jacqueline Collier Swale, DPT
• Tiffany Christine Tary, OTR/L
• Veronica Taylor, PTA
• Stacy Testa, PA-C
• Prabin Thakuri, AA

• Pediatrics Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.