Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Organization Active NPI Health Maintenance Organization · Halethorpe, MD
NPI 1043378656 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1043378656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- Legal business name
- KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
- Practice address
- Kaiser Permanente-South Baltimore
1701 Twin Springs Road
Halethorpe, MD 21227-3553 - Phone
- (410) 737-5000
- Fax
- (443) 263-7381
- NPI assigned
- Dec 5, 2006
- Reactivated
- Dec 20, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Authorized official
- Name
- Colleen E Swinton
- Title
- Director,Credentialing/Provider Enr
- Phone
- (301) 257-2797
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 16
Practitioners 2,279
-
Sandra Abraham-Hebert, M.D.
-
Akbar Abyaneh, DPM
-
Kathleen Adams, OD
-
Muzna Adil, M.D.
-
Neda Ahmadi, MD
-
Oluwakemi Ajide, M.D.
-
Kwame Akoto, MD
-
Saif Saad Al-Bustani, MD, DMD
-
Mir I Ali, MBBS
-
Madhavi Ambati, M.D.,
-
Delroy P Anglin, MD
-
Abiy Abebe Aregawi, M.D
-
Sharmila Aryal, M.D.
-
Louis Asaro, MD
-
Linda Ataifo, MD
-
Mohamed A Atalla, M.D.
-
Beverly Atueyi, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080519000558 | MD | Part B Supplier - Clinic/Group Practice | 3779495858 |
Receives reassigned benefits from 1,282 practitioners 4 other NPIs on this enrollment Practice locations: Timonium, MD; Nottingham, MD; Halethorpe, MD; Glen Burnie, MD; Frederick, MD; Baltimore, MD; Annapolis, MD; Abingdon, MD… |
National Provider Directory
- Part of
- Kaiser Found HLTH Plan
Locations
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
2101 E Jefferson St
#4E
Rockville, MD 20852
6111 Executive Blvd
Rockville, MD 20852
Phone (301) 255-4000
7141 Security Blvd
Windsor Mill, MD 21244
Phone (410) 281-6200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Nutritionist |
133N00000X | |||
| Pediatric Registered Nurse |
163WP0200X | |||
| Allergy & Immunology Physician |
207K00000X | |||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Plastic Surgery Physician |
208200000X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Health Maintenance Organization | 302R00000X | Yes |
Addresses
Primary practice location
Kaiser Permanente-South Baltimore
1701 Twin Springs Road
Halethorpe, MD 21227-3553
Mailing address
4000 Garden City Drive
4TH Floor Ppqa
Hyattsville, MD 20785-2418
Phone (301) 816-2424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K679 | Other | MD | MEDICARE GROUP ID |
Other names
- Kaiser Permanente
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Halethorpe, MD
- Ideal Pain Management, LLC
- Samir Jain
- Golbahar Jalali-Jafari
- Tayler Marie Jensen
- JLJ Medical Limited Liabilty Company, Priority Care Clinics
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
All providers in Halethorpe, MD · Health Maintenance Organization in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.