Dr. Sumith R. Madhavarapu D.O.
Pediatrician
He is located at 921 Gessner Road in Houston, TX 77024. Can help patients with the following: Chronic Cough, Croup, Fetal Alcohol Syndrome (FAS), Fever, Reye Syndrome, Tourette Syndrome. His National Provider Identifier (NPI) number is 1891052825. Appointment can be made via the phone number (713) 242-3000. He is affiliated with 1 practices.
Conditions treated
Dr. Sumith Rao Madhavarapu, being an pediatrician, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Sumith R. Madhavarapu.
- Abdominal Pain
- Allergic Reaction
- Anemia
- Anencephaly
- Asthma
- Autism
- Bee and Wasp Stings
- Birth Defects
- Bronchitis
- Cerebral Palsy (CP)
- Childhood Behavioral and Emotional Disorders
- Childhood Obesity
- Chronic Cough
- Cleft Palate and Cleft Lip
- Colic
- Common Cold
- Croup
- Developmental Delays
- Down Syndrome
- Dyslexia
- Eczema
- Edwards Syndrome
- Enuresis
- Fetal Alcohol Syndrome (FAS)
- Fever
- Food Poisoning
- Fragile X Syndrome (FXS)
- General Care
- Hay Fever
- Head Lice
- Headache
- Hives
- Infant Care
- Influenza
- Jaundice
- Kawasaki Disease
- Learning Disability
- Migraine
- Muscular Dystrophy
- Nausea and Vomiting
- Noonan Syndrome
- Parenting
- Pervasive Developmental Disorders (PDD)
- Phenylketonuria (PKU)
- Pinworm Infection
- Prescription Refill
- Reye Syndrome
- Rickets
- Sinusitis
- Skin Rash
- Sore Throat
- Speech Disorders
- Stuttering
- Sudden Infant Death Syndrome (SIDS)
- Tourette Syndrome
- Turner Syndrome
- Upper Respiratory Infection (URI)
- Urinary Tract Infection (UTI)
- Williams Syndrome
- Wilson-Turner Syndrome
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Sumith R. Madhavarapu as in-network for the following 2026 plans.
Health plans
Ambetter from Superior HealthPlan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 12 plans from Ambetter from Superior HealthPlan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete Gold | EPO · Gold | Preferred | Accepting new patients |
| Complete Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Enhanced Diabetes Care Silver with $0 Drug Options | EPO · Silver | Preferred | Accepting new patients |
| Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
| Everyday Gold | EPO · Gold | Preferred | Accepting new patients |
| Everyday Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Focused Silver | EPO · Silver | Preferred | Accepting new patients |
| Focused Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
| Standard Gold | EPO · Gold | Preferred | Accepting new patients |
| Standard Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Standard Silver | EPO · Silver | Preferred | Accepting new patients |
| Standard Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
Ambetter from Superior HealthPlan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 6 plans from Ambetter from Superior HealthPlan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete VALUE Gold (3 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Focused VALUE Silver (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Focused VALUE Silver + Vision + Adult Dental (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Standard Gold VALUE (3 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Standard Silver VALUE (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Standard Silver VALUE + Vision + Adult Dental (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
Community Health Choice
Network data as of Jan 28, 2026, as reported by the insurer.
Show all 18 plans from Community Health Choice
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Preferred | Accepting new patients |
| Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Preferred | Accepting new patients |
| Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Preferred | Accepting new patients |
| Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Preferred | Accepting new patients |
| Community Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Community Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) | HMO · Silver | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Sumith R. Madhavarapu is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Sumith R. Madhavarapu is enrolled to bill Medicare as a Practitioner - Pediatric Medicine .
Bills through: Ut Physicians
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Looking for more Pediatricians?
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- Address: Suite 350 915 Gessner Road Houston, 77024, TX
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- Address: Suite 210 902 Frostwood Drive Houston, 77024, TX
- Gender: Female
- Address: Suite 100 915 Gessner Road Houston, 77024, TX
Questions & Answers
Does Dr. Sumith Rao Madhavarapu have affiliation with practices?
Dr. Sumith Rao Madhavarapu is affiliated with Connecticut Children's Specialty Group.
Does Dr. Sumith Rao Madhavarapu accept insurance?
Dr. Sumith Rao Madhavarapu is listed in-network for 36 ACA Marketplace (Obamacare/HealthCare.gov) plans from Ambetter from Superior HealthPlan, Community Health Choice. See the Marketplace plans section for details.
Where can you meet with Dr. Sumith Rao Madhavarapu?
Dr. Sumith Rao Madhavarapu's office is located at 921 Gessner Road in Houston, TX 77024.
What conditions does Dr. Sumith Rao Madhavarapu treat?
Dr. Sumith Rao Madhavarapu provides treatment for Chronic Cough, Croup, Fetal Alcohol Syndrome (FAS), Fever, Reye Syndrome, Tourette Syndrome. For the full list see this list.