Dr. Sumanth Balguri
- Gender: Male
- Experience: 14 years
- Graduation year: 2007
- Sole propriator: No
- NPI: 1598077679
Dr. Sumanth Balguri M.D.
Family Physician
He is located at 7301 Rogers Avenue in Fort Smith, AR 72903. Can help patients with the following: Aging In Place, Arthritis, Headache, Mold Exposure, Nausea and Vomiting, Osteoporosis. His National Provider Identifier (NPI) number is 1598077679. Appointment can be made via the phone number (479) 314-6030. He is affiliated with 1 practices and 2 hospitals.
Conditions treated
Dr. Sumanth Balguri, being an family physician, 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. Sumanth Balguri.
- Abdominal Pain
- Aging In Place
- Anxiety
- Arthritis
- Asthma
- Autism
- Birth Control Counseling
- Breastfeeding and Lactation
- Chronic Obstructive Pulmonary Disease (COPD)
- Common Cold
- Diabetes
- Fever
- General Care
- Headache
- Heart Disease
- High Blood Pressure
- Hyperlipidemia
- Hypothyroidism
- Infant Care
- Influenza
- Migraine
- Mold Exposure
- Nausea and Vomiting
- Obesity
- Osteoarthritis (OA)
- Osteoporosis
- Pregnancy
- Prenatal Care
- Prescription Refill
- Thyroid Disease
- Women's Health
Procedures Performed by Dr. Sumanth Balguri
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Sumanth Balguri as in-network for the following 2026 plans.
Health plans
Ambetter from Arkansas Health & Wellness
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 7 plans from Ambetter from Arkansas Health & Wellness
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Connected Silver (QualChoiceLife) | PPO · Silver | Preferred | Accepting new patients |
| Connected Silver (QualChoiceLife) + Vision + Adult Dental | PPO · Silver | Preferred | Accepting new patients |
| Elite Gold (QualChoiceLife) | PPO · Gold | Preferred | Accepting new patients |
| Elite Gold (QualChoiceLife) + Vision + Adult Dental | PPO · Gold | Preferred | Accepting new patients |
| Standard Gold (QualChoiceLife) | PPO · Gold | Preferred | Accepting new patients |
| Standard Gold (QualChoiceLife) + Vision + Adult Dental | PPO · Gold | Preferred | Accepting new patients |
| Standard Silver (QualChoiceLife) | PPO · Silver | Preferred | Accepting new patients |
Ambetter from Arkansas Health & Wellness
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 14 plans from Ambetter from Arkansas Health & Wellness
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete Gold | PPO · Gold | Preferred | Accepting new patients |
| Complete Gold + Vision + Adult Dental | PPO · Gold | Preferred | Accepting new patients |
| Connected Silver | PPO · Silver | Preferred | Accepting new patients |
| Connected Silver + Vision + Adult Dental | PPO · Silver | Preferred | Accepting new patients |
| Elite Bronze | PPO · Expanded Bronze | Preferred | Accepting new patients |
| Elite Bronze + Vision + Adult Dental | PPO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Bronze | PPO · Expanded Bronze | Preferred | Accepting new patients |
| Everyday Bronze + Vision + Adult Dental | PPO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Expanded Bronze | PPO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Expanded Bronze + Vision + Adult Dental | PPO · Expanded Bronze | Preferred | Accepting new patients |
| Standard Gold | PPO · Gold | Preferred | Accepting new patients |
| Standard Gold + Vision + Adult Dental | PPO · Gold | Preferred | Accepting new patients |
| Standard Silver | PPO · Silver | Preferred | Accepting new patients |
| Standard Silver + Vision + Adult Dental | PPO · Silver | Preferred | Accepting new patients |
Ambetter from Arkansas Health & Wellness
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 10 plans from Ambetter from Arkansas Health & Wellness
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Choice Bronze HSA (QualChoice) | POS · Expanded Bronze | Preferred | Accepting new patients |
| Connected Silver (QualChoice) | POS · Silver | Preferred | Accepting new patients |
| Connected Silver (QualChoice) + Vision + Adult Dental | POS · Silver | Preferred | Accepting new patients |
| Elite Gold (QualChoice) | POS · Gold | Preferred | Accepting new patients |
| Elite Gold (QualChoice) + Vision + Adult Dental | POS · Gold | Preferred | Accepting new patients |
| Standard Expanded Bronze (QualChoice) | POS · Expanded Bronze | Preferred | Accepting new patients |
| Standard Gold (QualChoice) | POS · Gold | Preferred | Accepting new patients |
| Standard Gold (QualChoice) + Vision + Adult Dental | POS · Gold | Preferred | Accepting new patients |
| Standard Silver (QualChoice) | POS · Silver | Preferred | Accepting new patients |
| Standard Silver (QualChoice) + Vision + Adult Dental | POS · Silver | Preferred | Accepting new patients |
Arkansas Blue Cross and Blue Shield
Network data as of Aug 7, 2013, as reported by the insurer.
Show all 7 plans from Arkansas Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Exp Standardized | PPO · Expanded Bronze | True Blue PPO | Accepting new patients |
| Bronze Value | PPO · Expanded Bronze | True Blue PPO | Accepting new patients |
| Catastrophic HSA | PPO · Catastrophic | True Blue PPO | Accepting new patients |
| Gold Standardized | PPO · Gold | True Blue PPO | Accepting new patients |
| Gold Value | PPO · Gold | True Blue PPO | Accepting new patients |
| Silver AH | PPO · Silver | True Blue PPO | Accepting new patients |
| Silver Standardized | PPO · Silver | True Blue PPO | Accepting new patients |
Health Advantage
Network data as of Aug 7, 2013, as reported by the insurer.
Show all 8 plans from Health Advantage
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| HA Bronze Exp Standardized | POS · Expanded Bronze | True Blue PPO | Accepting new patients |
| HA Bronze National | POS · Expanded Bronze | True Blue PPO | Accepting new patients |
| HA Gold Premier National | POS · Gold | True Blue PPO | Accepting new patients |
| HA Gold Standardized | POS · Gold | True Blue PPO | Accepting new patients |
| HA Platinum Premier National | POS · Platinum | True Blue PPO | Accepting new patients |
| HA Platinum Standardized | POS · Platinum | True Blue PPO | Accepting new patients |
| HA Silver AH | POS · Silver | True Blue PPO | Accepting new patients |
| HA Silver Standardized | POS · Silver | True Blue PPO | Accepting new patients |
Octave
Network data as of Aug 7, 2013, as reported by the insurer.
Show all 6 plans from Octave
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Octave Bronze Exp Standardized | POS · Expanded Bronze | Usable Mutual Connect PPO | Accepting new patients |
| Octave Bronze Value | POS · Expanded Bronze | Usable Mutual Connect PPO | Accepting new patients |
| Octave Gold Classic National | POS · Gold | Usable Mutual Connect PPO | Accepting new patients |
| Octave Gold Standardized | POS · Gold | Usable Mutual Connect PPO | Accepting new patients |
| Octave Silver AH | POS · Silver | Usable Mutual Connect PPO | Accepting new patients |
| Octave Silver Standardized | POS · Silver | Usable Mutual Connect PPO | Accepting new patients |
Dental plans
Arkansas Blue Cross and Blue Shield
Network data as of Aug 7, 2013, as reported by the insurer.
Show all 8 plans from Arkansas Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Dental Gold | PPO · High | True Blue PPO | Accepting new patients |
| Dental Gold Plus Vision | PPO · High | True Blue PPO | Accepting new patients |
| Dental Pediatric | PPO · High | True Blue PPO | Accepting new patients |
| Dental Platinum | PPO · High | True Blue PPO | Accepting new patients |
| Dental Platinum Plus Vision | PPO · High | True Blue PPO | Accepting new patients |
| Dental Platinum Premium | PPO · High | True Blue PPO | Accepting new patients |
| Dental Platinum Premium Plus Vision | PPO · High | True Blue PPO | Accepting new patients |
| Dental Silver | PPO · Low | True Blue PPO | 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. Sumanth Balguri 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. Sumanth Balguri is enrolled to bill Medicare as a Practitioner - Family Practice .
Bills through: Mercy Clinic Fort Smith Communities
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.
Payments received
Drug payment
| AstraZeneca | $287 |
| Novo Nordisk | $265 |
| Janssen | $219 |
Other
| Food and Beverage | $2114 |
Studies
Graduated in 2007
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Questions & Answers
Where can you meet with Dr. Sumanth Balguri?
Dr. Sumanth Balguri's office is located at 7301 Rogers Avenue in Fort Smith, AR 72903.
Does Dr. Sumanth Balguri accept patients with Ambetter from Arkansas Health & Wellness?
Yes, Dr. Sumanth Balguri is listed in-network for Ambetter from Arkansas Health & Wellness through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Has Dr. Sumanth Balguri affiliation with hospitals?
Dr. Sumanth Balguri is affiliated with LOURDES HOSPITAL. For the full list of hospitals see this list.
Does Dr. Sumanth Balguri have affiliation with practices?
Dr. Sumanth Balguri is affiliated with UHS Wilson Medical Center.
What conditions does Dr. Sumanth Balguri treat?
Dr. Sumanth Balguri provides treatment for Aging In Place, Arthritis, Headache, Mold Exposure, Nausea and Vomiting, Osteoporosis. For the full list see this list.