Organization Active NPI

MD Anderson

  • Special Hospital
  • Houston, TX
National Provider Identifier
1144669508
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
P5415 Issued in TX
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

Updated by the provider on Jun 19, 2013

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0491588Ut MD Anderson Clinical1515 Holcombe Blvd Unit 24, Houston, TX 77030AccreditationOct 19, 2026
45D0886835Ut MD Anderson Clinical Lab Laboratory Medicine1515 Holcombe Blvd Unit 24, Houston, TX 77030Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.