Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Organization Active NPI Health Maintenance Organization · Gaithersburg, MD
NPI 1831471713 · NPPES record last updated Aug 11, 2025
Key facts
- NPI
- 1831471713
- 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
- 655 Watkins Mill Rd
Gaithersburg, MD 20879-3323 - Phone
- (301) 258-7700
- Fax
- (301) 816-7170
- NPI assigned
- Sep 15, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Authorized official
- Name
- Colleen Swinton
- Title
- Credentialing Director
- Phone
- (301) 257-2797
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 19
Practitioners 497
-
Stephanie Addison, M.D.
-
Afifa Adiba, MD
-
Isabella A Ahanogbe, M.D.
-
Deborah A Austin, LCPC
-
Veronica Alicia Babineaux, PT, DPT
-
Shahine Baghai, M.D.
-
Murali Balakrishnan, M.D.
-
Sandra Banks, M.D.
-
Jeremy Becker, M.D.
-
Anup Belur, M.D
-
Ariel Capili, MD
-
Beth Ann Carella, D.O.
-
Katrina Castillo, MD
-
Lan Chang, M.D.
-
Karen Tapawan Chen, M.D.
-
Min-Shue Alvin Chen, M.D.
-
Allen Chiu, MD
-
Rakesh Nitin Chopde, M.D.
-
Sharon Y Chung, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2195211 | Kaiser Permanente Gaithersburg Med Ctr Mohs Dept | Compliance | Aug 30, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040105000308 | DC | Part B Supplier - Clinic/Group Practice | 3779495858 |
Receives reassigned benefits from 2,537 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lanham, MD; Largo, MD; MC Lean, VA; Reston, VA; Rockville, MD; Silver Spring, MD; Fairfax, VA; Springfield, VA… |
National Provider Directory
- Tax ID family
- Kaiser Found HLTH Plan
- Part of
- Kaiser Found HLTH Plan
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Yes |
Addresses
Primary practice location
655 Watkins Mill Rd
Gaithersburg, MD 20879-3323
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Phone (301) 816-2424
Other names
- Kaiser Permanente Gaithersburg 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 Gaithersburg, MD
- 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
- Grady Kaiser
- Jessica Kajdas
- Neda Kalafchi
- Stella Kalambihis
- Taylor Green Kalamets
All providers in Gaithersburg, 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 Aug 11, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.