KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1114565298
Clinic/Center - Health Service in Fairfax, VA
About Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC (NPI 1114565298), doing business as Fair Oaks Medical Center Dpp, is a healthcare organization registered as a health service in Fairfax, Virginia and active in the NPI registry since December 2019. The organization lists Colleen Swinton, Director, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc's NPI number?
The NPI number for Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc is 1114565298. It was assigned to this organization in the NPPES registry on December 19, 2019. The provider is doing business as Fair Oaks Medical Center DPP.
Where is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc located?
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc is located at 12255 Fair Lakes Pkwy, Fairfax, VA 22033. The listed phone number is (703) 934-5700.
What is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
When was this NPI record last updated?
The NPPES record for Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc · NPI 1114565298
Health Service organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since December 19, 2019.
## Identity
- **NPI:** 1114565298 (Entity type: Organization)
- **Enumerated:** December 19, 2019
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Also known as:** Fair Oaks Medical Center DPP (Doing Business As)
- **Organization subpart:** Yes (part of Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc)
- **Authorized official:** Colleen Swinton, DIRECTOR, CREDENTIALING
## Practice location
- **Address:** 12255 FAIR LAKES PKWY, Fairfax, VA 22033-3952
- **Phone:** (703) 934-5700
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114565298) · Data from the CMS NPPES public registry.