Individual provider Active NPI

Kristin Kucera Marcum, M.D.

  • Otolaryngology Physician
  • Houston, TX
National Provider Identifier
1053594515
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
P4782 Issued in TX
Practice address
4191 Bellaire Blvd Ste 200
Houston, TX 77025-1003
Phone
(713) 795-5343
NPI assigned
Dec 6, 2007
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2012-00371 NC
Otolaryngology Physician 207Y00000X P4782 TX Primary

Addresses

Primary practice location

4191 Bellaire Blvd Ste 200
Houston, TX 77025-1003

Mailing address

4191 Bellaire Blvd Ste 200
Houston, TX 77025-1003
Phone (713) 795-5343

Other identifiers 1

IdentifierTypeStateIssuer
5920418MedicaidNC

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
I20130725000083 TX Practitioner - Otolaryngology 3779747241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

4191 Bellaire Blvd
Suite 200
Houston, TX 77025-1016
Phone (346) 356-7000

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

6445 Main St
Houston, TX 77030-1502

6445 Main St Opc
Houston, TX 77030-1502

6565 Fannin St
Houston, TX 77030-2703

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012-00371NCMDOtolaryngology Physician
P4782TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Methodist Specialty Physicians Otolaryngology CurrentSince Jan 1, 2026 Accepting new patients
TMH Physician Associates PLLC CurrentSince Dec 3, 2023 Accepting new patients
Weber, Moses, Hung & Powitzky LLP CurrentSince Aug 1, 2013 Accepting new patients
TMH Physician Associates PLLC CurrentSince Dec 3, 2023 Accepting new patients
Methodist Radiology Associates, PLLC Past Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Houston Methodist Past Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Premier Audiology and Hearing Aid Center LLC Past Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6624 Fannin St
Ste 1480
Houston, TX 77030
Phone (713) 790-1272

4191 Bellaire Blvd
Ste 200
Houston, TX 77025
Phone (713) 790-1272

6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150

6565 Fannin St
#623
Houston, TX 77030
Phone (713) 363-8584

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: kmarcum26539@directhoustonmethodist.org

Organizations & group practices 9

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1053594515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 BELLAIRE BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251003",
            "telephone_number": "713-795-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 BELLAIRE BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251003",
            "telephone_number": "713-795-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "KRISTIN",
        "middle_name": "KUCERA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2012-00371",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "P4782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920418",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.