Marc L Kudisch, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

DR.0065485 Issued in CO

Practice address

3030 S Gessner Rd Ste 120
Houston, TX 77063-3770

Phone

(713) 777-9995

Fax

(713) 777-0100

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Merit-based Incentive Payment System (MIPS)

Final score

89.06 of 100Reported as group

Quality

89.53

Promoting interoperability

100

Improvement activities

40

Cost

74

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mkudisch@direct.uspi.com

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.

• Arctic Slope Native Association LTD

  • Critical Access Hospital
  • Barrow, AK
  • NPI 1306933643
  Medicare reassignment NPD
• Digestive Health Group of the Gulf Coast, PLLC

  • Gastroenterology Physician
  • Houston, TX
  • NPI 1457668972
  NPD (past) Authorized official
• Nasrullah Manji, M.D., P.a.

  • Gastroenterology Physician
  • Sugar Land, TX
  • NPI 1902060098
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1093716375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 S GESSNER RD STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633770",
            "telephone_number": "713-777-9995",
            "fax_number": "713-777-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S GESSNER RD STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633770",
            "telephone_number": "713-777-9995",
            "fax_number": "713-777-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6699 Chimney Rock Rd",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770815358",
            "country_code": "US",
            "telephone_number": "713-777-9995",
            "fax_number": "713-777-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUDISCH",
        "first_name": "MARC",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J1289",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0065485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131866903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kudakachira, NP
• Anup S Kudakkasseril, MD
• Vishal Kudav, MD
• Neha Ragini Kuderu, MD
• Rashmi Kudesia, M.D.
• Megan Nicole Kudlak, MD
• Umar Kudrath, M.D.
• Denise R. Kudva, PHARMD
• Marilyn Katherine Kuehn
• Richard Kuehn, LPC

• Gastroenterology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.