Active NPI
MD Anderson
- Special Hospital
- Houston, TX
National Provider Identifier
1144669508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- License
- P5415
- Legal business name
- MD ANDERSON
- Practice address
- 1515 Holcombe Blvd
Houston, TX 77030-4000 - Phone
- (713) 792-2121
- NPI assigned
- Jun 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kareen Chin
- Title
- Program Manager, Pathology Fellow
- Phone
- (713) 792-3108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | P5415 | TX | Primary |
Addresses
Primary practice location
1515 Holcombe Blvd
Houston, TX 77030-4000
Mailing address
1123 Andover Dr
Pearland, TX 77584-2271
Phone (321) 278-0131
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0491588 | Ut MD Anderson Clinical | Accreditation | Oct 19, 2026 |
| 45D0886835 | Ut MD Anderson Clinical Lab Laboratory Medicine | Certificate of waiver | May 26, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371600000000",
"number": "1144669508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 ANDOVER DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775842271",
"telephone_number": "321-278-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304000",
"telephone_number": "713-792-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD ANDERSON",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-19",
"last_updated": "2013-06-19",
"status": "A",
"authorized_official_last_name": "CHIN",
"authorized_official_first_name": "KAREEN",
"authorized_official_title_or_position": "PROGRAM MANAGER, PATHOLOGY FELLOW",
"authorized_official_telephone_number": "713-792-3108",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "TX",
"license": "P5415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.