NPIMap

Organization Active NPI

University of Texas M. D. Anderson Cancer Center

  • General Acute Care Hospital
  • Houston, TX
National Provider Identifier
1174582050
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER
Practice address
1515 Holcombe Blvd
Houston, TX 77030-4009
Phone
(713) 792-2121
NPI assigned
Mar 21, 2006
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Miriam Flores
Title
Vice President, Revenue Cycle
Phone
(713) 792-3751

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Multi-Specialty Clinic/Center 261QM1300X NU
General Acute Care Hospital 282N00000X NU Primary
Special Hospital 284300000X NU

Addresses

Primary practice location

1515 Holcombe Blvd
Houston, TX 77030-4009

Mailing address

PO Box 4434
Houston, TX 77210-4439
Phone (713) 792-6161

Other identifiers 5

IdentifierTypeStateIssuer
112672401MedicaidTX
112672402MedicaidTX
026969099OtherOWCP - FECA PROGRAM
026969099OtherOWCP - BLACK LUNG PROGRAM
026969099OtherOWCP - ENERGY PROGRAM

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419000092 TX Part A Provider - Hospital 2668410903 Practice locations: Sugar Land, TX; Houston, TX; League City, TX; Conroe, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174582050. Details of each certification follow.

Hospital certification: CCN 450076

Legal name
UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 9, 2022
Beds
666
Ownership / control type
State
Organization structure
OtherNon-profit
Incorporated
Jun 30, 1941 in TX
Enrollment address
1515 Holcombe Blvd
The University of Texas M D Anderson Cancer Center
Houston, TX 77030-4009
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ut MD Anderson Cancer C11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1515 Holcombe Blvd
Unit 1652
Houston, TX 77030

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carin a Hagberg Individual Corporate OfficerChief Academic Officer Aug 1, 2018
Karolyn C Thompson Individual Corporate DirectorVP, Payor Strategies Oct 16, 2024
Artemo Mier Individual W-2 Managing EmployeeDirector, Billing & Collections Nov 1, 2014
Jessica Campbell Individual Corporate DirectorDirector, Patient Business Services Aug 3, 2017
The University of Texas at Austin Organization, Austin, TX Other Sep 1, 2007
Miriam Flores Individual Corporate DirectorAvp, Patient Business Services Sep 1, 2023
W-2 Managing EmployeeAvp, Patient Business Services Jan 1, 2005
Omer F Sultan Individual Corporate OfficerChief Financial Officer Oct 4, 2021
Christopher Smith Individual Operational/Managerial ControlDirector, Patient Business Services Aug 3, 2017
Jeffery E Lee Individual Corporate OfficerChief Medical Executive, Ad Interim Aug 31, 2024
Rosanna de Lourdes Morris Individual Corporate OfficerChief Operating Officer Apr 1, 2019
Peter WT Pisters Individual Corporate OfficerPresident Dec 1, 2017

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

Affiliated clinicians 2,814

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,814

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1174582050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4434",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104439",
            "telephone_number": "713-792-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304009",
            "telephone_number": "713-792-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS M. D. ANDERSON CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT,  REVENUE CYCLE",
        "authorized_official_telephone_number": "713-792-3751"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112672401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112672402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP - FECA PROGRAM",
            "identifier": "026969099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP - BLACK LUNG PROGRAM",
            "identifier": "026969099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP - ENERGY PROGRAM",
            "identifier": "026969099",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "address_2": "SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.