<!-- mcp-name: io.github.rinava/phi-mcp -->

phi-redact-mcp

An MCP server that redacts PII/PHI from text before it ever reaches an LLM — self-hosted, fail-closed, and HIPAA-aware.

Teams building LLM and agent pipelines in regulated domains have no clean, drop-in way to strip PHI/PII from a payload before it crosses into a model provider's infrastructure. phi-redact-mcp is that boundary: three MCP tools — redact, restore, detect — that scrub sensitive values into reversible placeholders, run entirely inside infrastructure you control, and block the request if detection is uncertain instead of leaking data.

redact("Patient MRN: 1234567, provider NPI 1234567893, ssn 078-05-1120, john.doe@example.com")

  redacted_text  (safe to send to the model):
    "Patient MRN: [MEDICAL_RECORD_NUMBER_1], provider NPI [NPI_1], ssn [US_SSN_1], [EMAIL_ADDRESS_1]"

  token_map      (kept local, never sent to the model):
    [MEDICAL_RECORD_NUMBER_1] → 1234567
    [NPI_1]                   → 1234567893
    [US_SSN_1]                → 078-05-1120
    [EMAIL_ADDRESS_1]         → john.doe@example.com

Send the redacted text to the model; keep the token_map local; call restore afterward to rehydrate the result. Round-trips are byte-exact and proven with property-based tests.

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Why this exists

The PHI/PII-redaction MCP niche is real but underserved — the existing options are thin Presidio wrappers with no HIPAA-specific detection and, critically, no guarantee that a detection failure blocks the request instead of silently passing raw data through. So teams either roll their own boundary or ship sensitive data to a provider and lean on a BAA to cover it — the design-time mistake that causes real compliance incidents.

	Naive Presidio wrapper	Regex-in-your-app	Cloud DLP API	phi-redact-mcp
Drop-in MCP tools	sometimes	❌	❌	✅
Fail-closed on uncertain detection	❌	❌	❌	✅
HIPAA identifiers (NPI, DEA, MBI, MRN, CLIA)	❌	partial	partial	✅
Reversible (restore original)	rarely	DIY	some	✅
Runs self-hosted, zero egress	✅	✅	❌ (sends data out)	✅
Works with zero heavy deps	❌ (needs spaCy)	✅	n/a	✅ (regex engine)
Optional ML NER (names, addresses)	✅	❌	✅	✅ ([presidio] extra)

Why it was built: MCP went mainstream fast — it's now first-class in Claude, Cursor, and ChatGPT, across thousands of servers — but the PHI/PII-redaction corner was left to a few unmaintained wrappers. This fills that gap with a single honest, auditable, fail-closed boundary, kept open source so the redaction logic you depend on is fully inspectable rather than a black box.

Features

• Three tools, one boundary — redact (→ scrubbed text + reversible token map), restore (→ original), detect (→ entities found, no mutation).
• Fail-closed by construction — if detection errors or any detection lands below the confidence threshold, the call returns a typed error. Uncertainty blocks; it never redacts-what-it-can and passes the rest.
• HIPAA-aware detection — checksum-validated NPI and DEA, position-typed Medicare MBI, context-anchored MRN, CLIA lab IDs, plus standard PII (email, phone, SSN, credit card, IP, URL).
• Zero-egress, self-hosted — the default engine is pure regex + checksums with no network calls and no heavy dependencies. It installs anywhere Python does.
• Optional ML upgrade — pip install "phi-redact-mcp[presidio]" adds Microsoft Presidio + spaCy for PERSON/LOCATION NER, transparently.
• Reversible & deterministic — collision-proof typed placeholders make restore(redact(x)) == x for arbitrary input; same input + config always yields the same output.

When to use it (and when not to)

Reach for phi-redact-mcp when:

• You send healthcare, clinical, financial, or user-generated text to a third-party LLM API and need PHI/PII kept out of that provider's infrastructure and logs.
• You're building an agent or MCP pipeline in a regulated domain and want a drop-in scrubbing boundary you wire in with one tool call.
• You need reversible redaction so downstream steps still work: redact → send to model → restore.
• You want a self-hosted, no-egress detector you can audit line by line.
• You need HIPAA-specific identifiers (NPI, DEA, Medicare MBI, MRN, CLIA), not just names and emails.

Reach for something else when:

• You need irreversible de-identification / anonymization (tokenization, k-anonymity) — redaction here is reversible by design.
• You need to redact non-text data (images, audio, PDFs, database rows) — scope is text.
• You want a certified compliance product — this is one technical control, not a compliance program (see Scope & honest limitations).
• You want a transparent proxy that auto-scrubs everything in the request path — v1 is explicit tool calls; proxy mode is on the roadmap.
• You require guaranteed 100% recall — no detector, this one included, can promise that.

Quickstart (< 60 seconds)

pip install phi-redact-mcp        # zero heavy deps; runs immediately

Then register it with your MCP client.

Claude Desktop / Claude Code (claude_desktop_config.json, or claude mcp add phi-redact -- phi-redact-mcp):

{
  "mcpServers": {
    "phi-redact": {
      "command": "phi-redact-mcp"
    }
  }
}

Cursor (.cursor/mcp.json) and VS Code use the same shape — see examples/ for ready-to-paste configs.

Want name/address detection too?

pip install "phi-redact-mcp[presidio]"
python -m spacy download en_core_web_lg

The server auto-detects Presidio and upgrades — no config change needed. (Set PHI_MCP_ENGINE=regex to force the dependency-free engine, or =presidio to require the ML one.)

How it works

A tool call comes in over stdio; the Redactor core runs the configured detection engine, resolves overlaps deterministically, applies the fail-closed threshold check, and swaps detected spans for reversible typed placeholders. Only scrubbed text is meant to leave the boundary you run.

flowchart LR
    A[MCP client<br/>Claude · Cursor · agent] -- redact / restore / detect --> B[phi-redact-mcp<br/>stdio server]
    B --> C[Redactor core<br/>fail-closed · reversible]
    C --> D{Detection engine}
    D -->|default, zero deps| E[Regex + checksums]
    D -->|optional| F[Presidio + spaCy NER]
    C -. scrubbed text .-> A
    A -- scrubbed text only --> G[(LLM / downstream)]

The Redactor core depends only on a small DetectionEngine interface — never on Presidio or MCP directly. Raw data and the detection engine stay inside the boundary you run; only scrubbed text leaves it. See docs/ARCHITECTURE.md and docs/THREAT_MODEL.md.

The tools

redact(text) → { redacted_text, token_map, entities }

Replaces detected PHI/PII with typed placeholders like [NPI_1]. token_map maps each placeholder back to its original value — keep it local; never send it to the model. entities lists what was redacted (type/span/score) for auditing.

restore(redacted_text, token_map) → { text }

Reverses a redaction, recovering the original text exactly. Safe to call on model output that still contains the placeholders.

detect(text) → { entities, count }

Reports the entities found — type, span, confidence — without modifying the text. Unlike redact, it surfaces low-confidence hits rather than blocking, so you can inspect coverage before trusting the boundary in a pipeline.

How to use it (a real pipeline)

The pattern is redact → model → restore, with the token map never leaving your side:

1. Scrub before the model. Call redact(user_text). Send only redacted_text to the LLM. Keep token_map in your process — treat it as sensitively as the raw input, and never pass it to the model.
2. Let the model work on placeholders. It sees [NPI_1], [US_SSN_1], etc. — semantically neutral tokens it can reason about and echo back.
3. Rehydrate after. Call restore(model_output, token_map) to swap the real values back into the model's response before it reaches your user or database.
4. Handle the block. If redact returns a [LOW_CONFIDENCE] or [DETECTION_ERROR] tool error, the boundary refused to leak — surface it, tighten input, or lower the risk, but don't send the raw text onward.

Before trusting it in a pipeline, call detect(sample_text) on representative (synthetic) data to see exactly what is and isn't caught, and tune the thresholds (below) to your risk tolerance.

Fail-closed, precisely

Two thresholds govern every redact call:

• detection_floor (default 0.35) — the sensitivity boundary. Signals below it are treated as noise.
• min_confidence (default 0.5) — the trust threshold.

Any candidate that survives the floor but scores below min_confidence puts the call into fail-closed mode: it returns a [LOW_CONFIDENCE] error rather than redacting the confident spans and passing the uncertain one through. Engine errors return [DETECTION_ERROR]. On any error, no redacted text is returned. Both thresholds are configurable (see below).

Configuration

All optional; sane defaults mean it runs with zero config. Set via the client's env block.

Variable	Default	Meaning
PHI_MCP_ENGINE	auto	auto (Presidio if installed, else regex), regex, or presidio
PHI_MCP_MIN_CONFIDENCE	0.5	Trust threshold; detections below it fail closed
PHI_MCP_DETECTION_FLOOR	0.35	Below this, a signal is treated as noise
PHI_MCP_MAX_INPUT_CHARS	100000	Reject larger input with a typed error
PHI_MCP_SPACY_MODEL	en_core_web_lg	spaCy model for the Presidio engine

Entity coverage

Entity	Regex engine (default)	Presidio engine ([presidio])
Email, Phone, SSN, Credit card, IP, URL	✅	✅
NPI (Luhn + 80840 check digit)	✅	✅
DEA (check digit)	✅	✅
Medicare MBI (position-typed)	✅	✅
MRN (context-anchored)	✅	✅
CLIA lab number	✅	✅
Person names	❌	✅ (spaCy NER)
Addresses / locations	❌	✅ (spaCy NER)

Detection quality is measured, not asserted — see the eval harness. On the synthetic corpus the default engine clears the project bar (recall ≥ 0.90, precision ≥ 0.80) on the HIPAA identifier set.

Scope & honest limitations

This tool reduces PHI/PII exposure at one boundary. It does not make a system "HIPAA compliant." Compliance is a property of an entire system and organization — its policies, contracts, access controls, audit posture, and people — not of any single library. Running phi-redact-mcp can be part of a compliant design, but it is not a certification, a guarantee, or a substitute for a Business Associate Agreement, a risk assessment, or legal counsel.

Concretely, this project does not: guarantee 100% detection (no detector does), de-identify beyond reversible redaction, cover non-text data, or act as a transparent proxy in v1 (redaction is via explicit tool calls you wire in). No detector is perfect — evaluate on your own representative data before relying on it. See docs/THREAT_MODEL.md for the full boundary, assumptions, and residual risks, and SECURITY.md to report issues.

How to contribute

Contributions are very welcome — this is a deliberately friendly place to make your first open-source PR, and the maintainer tries to respond quickly.

The easiest high-value contribution: add a detection recognizer for a new identifier (a regex + an optional check-digit validator + a test). The add-a-recognizer issue form doubles as the spec, and CONTRIBUTING.md walks through the six steps.

Other good ways to help: improve docs, add test cases or example client configs, or pick up something from the roadmap. Browse good first issues or open an issue to propose something.

git clone https://github.com/Rinava/phi-mcp && cd phi-mcp
pip install -e ".[dev]"
pytest                 # fast invariant suite (Presidio faked, sub-second)
ruff check . && mypy src/phi_mcp
python eval/run_eval.py

The full guide — dev setup, conventions, and the no-real-PHI rule for fixtures — is in CONTRIBUTING.md. By contributing you agree your work is MIT-licensed.

License

MIT — matches Presidio and maximizes reuse. Built with Microsoft Presidio (optional) and the MCP Python SDK.