Dr Sumith Rao Madhavarapu, DO - Medicare Pediatrics in Houston, TX

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Dr Sumith Rao Madhavarapu, DO is a medicare enrolled "Pediatrics" physician in Houston, Texas. His current practice location is 921 Gessner Rd, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 242-3000.

Dr Sumith Rao Madhavarapu is licensed to practice in Texas (license number R7266) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891052825.

Contact Information

Dr Sumith Rao Madhavarapu, DO
921 Gessner Rd,
Houston, TX 77024
(713) 242-3000
Not Available

Map and Direction




Physician's Profile

Full NameDr Sumith Rao Madhavarapu
GenderMale
SpecialityPediatrics
Location921 Gessner Rd, Houston, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891052825
  • Provider Enumeration Date: 04/16/2012
  • Last Update Date: 07/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2466772470
  • Enrollment ID: I20151104000475

Medical Identifiers

Medical identifiers for Dr Sumith Rao Madhavarapu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891052825NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 54230 (Connecticut)Secondary
2080S0012XPediatrics - Sleep Medicine R7266 (Texas)Secondary
208000000XPediatrics R7266 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sumith Rao Madhavarapu allows following entities to bill medicare on his behalf.
Entity NameConnecticut Children's Specialty Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669448882
PECOS PAC ID: 6002720117
Enrollment ID: O20031113000468

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sumith Rao Madhavarapu is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sumith Rao Madhavarapu, DO
1317 Isabella St,
Houston, TX 77004-4037

Ph: (405) 474-0683		Dr Sumith Rao Madhavarapu, DO
921 Gessner Rd,
Houston, TX 77024

Ph: (713) 242-3000

Reviews and Comments


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Zachary Foughty,
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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