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

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: July 19, 2026.

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

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
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

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.

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.

CHRISTINE M MORRISON CRNA
Nurse Anesthetist, Certified Registered
921 GESSNER RD
HOUSTON, TX 77024
Harris County (713) 242-3439
ANDREA MARCONI D.O, M.D
Emergency Medicine
921 GESSNER RD
HOUSTON, TX 77024
Harris County (713) 242-3070
MEMORIAL CITY EMERGENCY PHYSICIANS, LLP
Emergency Medicine
921 GESSNER RD
HOUSTON, TX 77024
Harris County (713) 242-3000
MICHAEL CANTU M.D.
Emergency Medicine
921 GESSNER RD
HOUSTON, TX 77024
Harris County (713) 242-3000
KELLY BAKER P.A.-C
Physician Assistant
921 GESSNER RD
HOUSTON, TX 77024
Harris County (713) 242-3000
KATHERINE HEALEY M.D.
Emergency Medicine
921 GESSNER RD
HOUSTON, TX 77024
Harris County (713) 456-5000
NIKA ELIZABETH BRUSATORI M.D.
Emergency Medicine
921 GESSNER RD, MEMORIAL HERMAN MEMORIAL CITY EMERGENCY ROOM
HOUSTON, TX 77024
Harris County (713) 242-3070
WILLIAM EDWARDS M.D.
Emergency Medicine
921 GESSNER RD
HOUSTON, TX 77024
Harris County (713) 242-3000

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 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.

Where is Sumith Madhavarapu located?

Sumith Madhavarapu practices at 921 Gessner Rd, Houston, TX 77024. The listed phone number is (713) 242-3000.

What is Sumith Madhavarapu's specialty?

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

Is Sumith Madhavarapu enrolled in Medicare?

Yes. Sumith Madhavarapu is registered in the Medicare PECOS enrollment system.

What insurance does Sumith Madhavarapu accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Sumith Madhavarapu 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 Sumith Madhavarapu was last updated on July 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.