DR. RACHNA KALAPI SHETH MD
Accepted Insurance for NPI 1275813644
Pediatrics in Houston, TX
Active since August 17, 2011PECOS Enrolled
81.38/100
CMS Quality Rating
Does Dr. Sheth take my insurance?
Antidote Health of TX includes Dr. Sheth in 27 Texas plans sold on HealthCare.gov for 2027, all on its AH Texas network. Moda Health also lists Dr. Sheth in Alaska.
Also listed inAlaska
Call before you book: insurer directories can be out of date, so call the office at (713) 792-2991 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.
No plans match your search or filters.
Texas plans 27 plans
Plans sold to Texas residents. Costs are for the standard version of each plan.
Antidote Health of TX
Gold Elite Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsNetwork tier: TiertwoEPOGold$3,00011819TX0030230View details
Gold Elite+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsNetwork tier: TiertwoEPOGold$3,00011819TX0030231View details
Gold Enhanced Blood Pressure Management Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxNetwork tier: TiertwoEPOGold$3,00011819TX0030084View details
Gold Enhanced Blood Pressure Management+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxNetwork tier: TiertwoEPOGold$3,00011819TX0030085View details
Gold Enhanced Diabetes Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinNetwork tier: TiertwoEPOGold$3,00011819TX0030082View details
Gold Enhanced Diabetes+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinNetwork tier: TiertwoEPOGold$3,00011819TX0030083View details
Gold Essential Unlimited $0 Antidote PCP/Urgent Virtual VisitsNetwork tier: TiertwoEPOGold$4,00011819TX0030080View details
Gold Essential+Dental Unlimited $0 Antidote PCP/Urgent Virtual VisitsNetwork tier: TiertwoEPOGold$4,00011819TX0030081View details
Silver Elite Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsNetwork tier: TiertwoEPOSilver$6,50011819TX0030220View details
Silver Elite+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsNetwork tier: TiertwoEPOSilver$6,50011819TX0030221View details
Silver Enhanced Blood Pressure Management Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxNetwork tier: TiertwoEPOSilver$7,50011819TX0030074View details
Silver Enhanced Blood Pressure Management+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxNetwork tier: TiertwoEPOSilver$7,50011819TX0030075View details
Silver Enhanced Diabetes Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinNetwork tier: TiertwoEPOSilver$7,50011819TX0030072View details
Silver Enhanced Diabetes+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinNetwork tier: TiertwoEPOSilver$7,50011819TX0030073View details
Silver Essential +Dental Unlimited $0 Antidote PCP/Urgent Virtual VisitsNetwork tier: TiertwoEPOSilver$7,50011819TX0030071View details
Silver Essential Unlimited $0 Antidote PCP/Urgent Virtual VisitsNetwork tier: TiertwoEPOSilver$7,50011819TX0030070View details
Bronze Enhanced Blood Pressure Management Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxNetwork tier: TiertwoEPOBronze$8,70011819TX0030064View details
Bronze Enhanced Blood Pressure Management+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxNetwork tier: TiertwoEPOBronze$8,70011819TX0030065View details
Bronze Enhanced Diabetes Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinNetwork tier: TiertwoEPOBronze$8,70011819TX0030062View details
Bronze Enhanced Diabetes+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinNetwork tier: TiertwoEPOBronze$8,70011819TX0030063View details
Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual VisitsNetwork tier: TiertwoEPOBronze$8,70011819TX0030060View details
Bronze Essential+Dental Unlimited $0 Antidote PCP/Urgent Virtual VisitsNetwork tier: TiertwoEPOBronze$8,70011819TX0030061View details
Bronze Elite $0 Deductible Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsNetwork tier: TiertwoEPOExpanded Bronze$011819TX0030212View details
Bronze Elite+Dental $0 Deductible Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsNetwork tier: TiertwoEPOExpanded Bronze$011819TX0030213View details
Also listed in other states 4 plans · 1 state
Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.
Moda Health · Alaska
Moda Select Alaska Standard BronzeNetwork tier: PreferredPPOExpanded Bronze$7,50073836AK0960001View details
Moda Select Alaska Bronze 8500Network tier: PreferredPPOExpanded Bronze$8,50073836AK0990001View details
Questions about Dr. Sheth’s insurance
Does Dr. Sheth take Antidote Health of TX?
For Texas Marketplace plans, yes: Antidote Health of TX includes Dr. Sheth in 27 plans for 2027. Call the office at (713) 792-2991 to confirm your plan before booking.
Is Dr. Sheth accepting new patients?
The insurers that list Dr. Sheth report that Dr. Sheth is accepting new patients. Call the office at (713) 792-2991 to confirm your plan before booking.
Do I need a referral to see Dr. Sheth?
Not under the Texas plans that list Dr. Sheth: the 2027 plan files say a specialist referral is not required.
Does Dr. Sheth accept Medicare?
CMS files show a PECOS enrollment but no Medicare assignment indicator. Ask the office.
About this data
This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.
| Source | What it provides here | Source date |
|---|---|---|
| Insurer provider directory files | Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules. | Moda Health: Oct 31, 2026 Antidote Health of TX: Jan 1, 2026 |
| CMS Health Insurance Exchange public use files | Plan details and Summary of Benefits links for HealthCare.gov states. | Plan year 2027, Oct 20, 2026 |
- Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
- Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
- Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
- Networks change during the year. Confirm with your insurer or the practice before booking.
