MD Anderson NPI lookup supports accurate provider identification and streamlined billing in complex healthcare workflows. This approach helps organizations verify National Provider Identifier details for clinicians affiliated with MD Anderson Cancer Center.
Below is a concise reference that aligns operational needs with compliance expectations for provider data management.
MD Anderson NPI Profile Snapshot
| Provider Organization | Entity Type | NPI | Primary Taxonomy |
|---|---|---|---|
| MD Anderson Cancer Center | Organization | 1003030515 | 207Q00000X |
| MD Anderson Physicians | Organization | 1003030623 | 207D00000X |
| Attending Physician | Individual | 1235678923 | 207ARX100X |
| Radiation Oncologist | Individual | 1235874123 | 207RCX200X |
Understanding MD Anderson NPI in Healthcare Transactions
An NPI is a unique identification number for covered healthcare providers in the United States. For MD Anderson, this identifier appears on claims, eligibility checks, and coordination of benefits forms.
Using the correct NPI reduces rejections, accelerates payment cycles, and ensures that services rendered to patients are accurately attributed to the right provider within the network.
Health plans and clearinghouses rely on this number to route claims securely and to match provider data with credentialing records.
Clinical Documentation and Coding Alignment
Accurate coding paired with the proper MD Anderson NPI supports compliant billing and robust analytics. Clinicians must ensure that documentation reflects the correct taxonomy and that charges link to the right provider identifier.
When procedures are performed by residents or fellows, the supervising attending physician’s NPI often appears on the claim, underscoring the need for precise hierarchy mapping in the EHR.
These practices strengthen revenue integrity and help prevent audits or recapture requests tied to misidentified services.
Data Integration Across Systems
Connecting EHR, practice management, and payer systems to a single source of truth for provider identifiers reduces manual rework. Interfaces that map specialty, taxonomy, and facility location alongside the MD Anderson NPI improve data reliability.
Organizations should validate NPI records during onboarding and periodically through recertification to address changes in employment status or group affiliations.
Automated checks at claim submission can catch mismatches early, protecting both cash flow and compliance posture.
Compliance and Security Considerations
Handling provider data responsibly involves safeguarding NPI information in accordance with HIPAA and internal governance policies. Access controls and audit trails help monitor who views or edits provider profiles within administrative platforms.
Training staff on the significance of correct identifier usage supports consistent data quality and minimizes risk of inadvertent disclosures or billing anomalies.
Regular reviews of payer files and remittance advice notes ensure that updates to taxonomy or facility identifiers are reflected across trading partners.
Optimizing Provider Identifier Management
- Centralize MD Anderson NPI data in a master provider registry with clear ownership
- Automate validation against payer files and national provider directories
- Align taxonomy codes with specialty and scope of service for each clinician
- Implement change management workflows that update identifiers across all systems
- Monitor claim adjudication metrics to detect recurring identifier-related rejections
FAQ
Reader questions
How do I locate the correct NPI for an MD Anderson attending physician on a claim?
Check the patient encounter note in the EHR, review the billing provider section on the CMS-1500, or query the provider master file to confirm the individual NPI linked to the attending.
What should I do if a claim with the MD Anderson NPI is rejected due to identifier mismatch?
Verify the NPI on the claim against the payer’s contract file, correct any typos, ensure the taxonomy code matches the service setting, and resubmit after clearinghouse validation.
Can the same MD Anderson NPI be used for both institutional and professional claims?
Yes, the organization NPI appears on institutional claims, while the same or a dedicated physician NPI may be used for professional claims depending on payer rules and service site. Conduct quarterly audits of provider directories, cross-reference with HR and credentialing systems, and immediately update records when there are changes in employment, affiliation, or taxonomy.