DR. SUMITH RAO MADHAVARAPU D.O.
NPI 1891052825
Pediatrics in Houston, TX

Q: What is Sumith Madhavarapu's NPI number?

The NPI number for Sumith Madhavarapu is 1891052825. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Q: What is Sumith Madhavarapu's specialty?

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

Active since April 16, 2012PECOS Enrolled

921 GESSNER RD, HOUSTON, TX 77024(713) 242-3000 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2020, Jul 10, 2019, Jun 20, 2018 (3 updates tracked since 2018).

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About Dr. Sumith Rao Madhavarapu D.o. NPPES

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

DR. SUMITH RAO MADHAVARAPU D.O. (NPI 1891052825) is an individual pediatrics provider in Houston, Texas, licensed in Texas (R7266) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891052825

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. SUMITH RAO MADHAVARAPUCredential: D.O.

Location Address921 GESSNER RDHouston, TX 77024

Mailing Address1317 Isabella StHouston, TX 77004-4037 · (405) 474-0683

Phone(713) 242-3000

Sole ProprietorYes

Enumeration DateApril 16, 2012

Last NPPES UpdateJuly 29, 20203 updates tracked since enumeration

NPPES CertifiedJuly 29, 2020

✔ NPI 1891052825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in TX · R7266✔ Licensed in CT · 54230

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.

Also ListedPediatrics · Sleep MedicineTaxonomy 2080S0012X · License R7266 (TX)

921 GESSNER RD, Houston, TX 77024

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sumith Rao Madhavarapu D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Sumith Madhavarapu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Physicians

10 mi

Anesthesiology

6410 FANNIN ST, 1500
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
3,111 clinicians in this Medicare group

NPI 1033157821 (832) 325-7325

Acs Primary Care Physicians Southwest, PA

283 mi

Emergency Medicine

1900 HOSPITAL BLVD
Gainesville, TX 76240

Reassigned Medicare billing, Texas enrollment
1,193 clinicians in this Medicare group

NPI 1538101019 (925) 924-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77024 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Other Providers at the Same Location NPPES 20

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

MUKUKA MUKUPO MUMBI

Nurse Practitioner (Acute Care)