NPIMap

Individual provider Active NPI

Marianne Vandromme Cusick, MD, MSPH

  • Colon & Rectal Surgery Physician
  • Houston, TX
National Provider Identifier
1033323878
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
Q0622 Issued in TX
Practice address
6550 Fannin St
Suite 2307
Houston, TX 77030-2717
Phone
(713) 486-4600
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X Q0622 TX Primary

Addresses

Primary practice location

6550 Fannin St
Suite 2307
Houston, TX 77030-2717

Mailing address

6550 Fannin St
Suite 2307
Houston, TX 77030-2717
Phone (713) 486-4600

Other identifiers 1

IdentifierTypeStateIssuer
338173302MedicaidTX

Other names 1

  • Marianne Josephine Vandromme Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140903001234 TX Practitioner - Colorectal Surgery (Proctology) 0042457301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Morehouse School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Feb 1, 2015 Accepting new patients
Ut Physicians CurrentSince Feb 1, 2015 Accepting new patients

Locations

6500 West Loop S
Ste 200E
Bellaire, TX 77401
Phone (713) 486-1330

11920 Astoria Blvd
Ste 330
Houston, TX 77089
Phone (281) 335-0377

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

6550 Fannin St
Ste 2307
Houston, TX 77030
Phone (713) 790-9250

800 Peakwood Dr
Ste 2C
Houston, TX 77090
Phone (713) 440-7495

9200 Pinecroft Dr
Ste 320
Shenandoah, TX 77380
Phone (281) 367-7288

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

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

Interoperability endpoints

  • Direct secure messaging: mcusick30975@directhoustonmethodist.org
  • Direct secure messaging: mcusick13323@direct.uth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1033323878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 2307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-486-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 2307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-486-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSICK",
        "first_name": "MARIANNE",
        "middle_name": "VANDROMME",
        "credential": "MD, MSPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "Q0622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338173302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "VANDROMME",
            "middle_name": "JOSEPHINE",
            "credential": "MD, MSPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.