Individual provider Active NPI

Sumith Rao Madhavarapu, D.O.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1891052825
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R7266 Issued in TX
Practice address
921 Gessner Rd
Houston, TX 77024
Phone
(713) 242-3000
NPI assigned
Apr 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 54230 CT
Pediatric Sleep Medicine Physician 2080S0012X R7266 TX
Pediatrics Physician 208000000X R7266 TX Primary

Addresses

Primary practice location

921 Gessner Rd
Houston, TX 77024

Mailing address

1317 Isabella St
Houston, TX 77004-4037
Phone (405) 474-0683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180628000796 TX Practitioner - Pediatric Medicine 2466772470 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R7266TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Pediatrics CurrentSince Jul 1, 2018 Accepting new patients
Acs Primary Care Physicians Southwest, PA CurrentSince Jun 1, 2018 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Oct 1, 2015 Accepting new patients
Ut Physicians CurrentSince Jul 1, 2018 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Oct 1, 2015 Accepting new patients

Locations

60 Hartland St
#3
East Hartford, CT 06108

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

6431 Fannin St
#417
Houston, TX 77030
Phone (713) 500-7885

2555 Gulf Fwy S
League City, TX 77573
Phone (832) 932-9850

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

Interoperability endpoints

  • Direct secure messaging: sumith.madhavarapu@blu.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1891052825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ISABELLA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770044037",
            "telephone_number": "405-474-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-242-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADHAVARAPU",
        "first_name": "SUMITH",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "54230",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "TX",
            "license": "R7266",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R7266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.