KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1114677572
Clinic/Center - Ambulatory Surgical in Woodbridge, VA

NPI Status: Active since March 28, 2022

Contact Information

13285 MINNIEVILLE ROAD
WOODBRIDGE, VA
ZIP 22192
Phone: (703) 986-2500

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

This page provides the complete NPI Profile along with additional information for Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc, a provider established in Woodbridge, Virginia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1114677572 assigned on March 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Colleen Swinton (Director, Credentialing)

NPI
1114677572
Provider Legal Name
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
13285 MINNIEVILLE ROAD WOODBRIDGE, VA 22192
Location Phone
(703) 986-2500
Mailing Address
4000 GARDEN CITY DR HYATTSVILLE, MD 20785
Mailing Phone
(301) 816-2424
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-28-2022
Last Update Date
07-24-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

COLLEEN SWINTON

Authorized Official Title
DIRECTOR, CREDENTIALING
Authorized Official Phone
(301) 257-2797

Reviews for KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114677572, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 2 + 7 + 1 + 4 + 5 + 1 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1114677572.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
13285 MINNIEVILLE ROAD
WOODBRIDGE, VA 22192
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
13285 MINNIEVILLE ROAD
WOODBRIDGE, VA 22192
Health Maintenance Organization
13285 MINNIEVILLE ROAD
WOODBRIDGE, VA 22192

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114677572, enumerated as an "organization" on March 28, 2022.

The provider is located at 13285 MINNIEVILLE ROAD WOODBRIDGE, VA 22192 and the phone number is (703) 986-2500.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.