Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Organization Active NPI Health Maintenance Organization · Glen Burnie, MD
NPI 1285752121 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1285752121
- 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
- 7670 Quarterfield Rd
Glen Burnie, MD 21061-3947 - Phone
- (410) 508-7650
- NPI assigned
- Mar 27, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Authorized official
- Name
- Colleen Swinton
- Title
- Director, Credentialing
- Phone
- (301) 257-2797
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 24
Practitioners 171
-
Ethiopia Abebe, MD
-
Nneka Bagwell, APRN, FNP
-
Matthew Jerome Boyce, M.D
-
Mary Branton, MD
-
Anna J Braun, MPAS, PA-C
-
Colleen Ceremuga, MD
-
Isha Choudhary, MD
-
Mowree Choudhury, M.D.
-
Anita K Clayton, MD
-
Laurie Macdonald Crain, M.D.
-
Daoud F Dajani, MD
-
Holly Michelle Dawsey, LCSW-C
-
Rachel Gopenko Dhyani, PA-C
-
Mary K Diehn, M.D.
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 This NPI is an additional NPI on the enrollment Practice locations: Timonium, MD; Nottingham, MD; Halethorpe, MD; Glen Burnie, MD; Frederick, MD; Baltimore, MD; Annapolis, MD; Abingdon, MD… |
National Provider Directory
- Tax ID family
- Kaiser Found HLTH Plan
- Part of
- Kaiser Found HLTH Plan
Locations
3400 Box Hill Corporate Center Dr
Ste 100
Abingdon, MD 21009
Phone (310) 816-2424
8028 Ritchie Hwy
Ste 134
Pasadena, MD 21122
Phone (410) 553-2400
2391 Greenspring Dr
Timonium, MD 21093
Phone (410) 847-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Yes |
Addresses
Primary practice location
7670 Quarterfield Rd
Glen Burnie, MD 21061-3947
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Phone (301) 816-2424
Other names
- North Arundel Medical Center
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 Glen Burnie, MD
- Justliz L.L.C
- Suela Kaba
- Kendra Paige Kachel
- Sarah Grace Kachur
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaitlyn'S Counseling Corner
- Richa Kalsi
- Uwaezu Mercy Kalu
- Nirmala Kammana
- Bomin Kang
All providers in Glen Burnie, 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.