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KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1417595505
Clinic/Center - Health Service in Reston, VA

Active since December 19, 2019
1890 METRO CENTER DR, RESTON, VA 20190(703) 709-1500 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 26, 2021, Dec 19, 2019 (2 updates tracked since 2019).

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 1417595505), doing business as Reston Medical Center Dpp, is a healthcare organization registered as a health service in Reston, Virginia and active in the NPI registry since December 2019. The organization lists Colleen E Swinton, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1417595505
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Location Address1890 METRO CENTER DRReston, VA 20190-5286
Mailing Address4000 Garden City DrHyattsville, MD 20785-2418 · (301) 816-2424
Phone(703) 709-1500
Organization SubpartYes
Authorized OfficialColleen E SwintonCredentialing Director · (301) 257-2797
Enumeration DateDecember 19, 2019
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1417595505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1890 METRO CENTER DR, Reston, VA 20190
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Other Names 1

Doing Business AsReston Medical Center Dpp

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.

DR. CARL THEODORE BROWN MD
Obstetrics & Gynecology
1890 METRO CENTER DR, KAISER PERMANENTE RESTON MEDICAL CENTER
RESTON, VA 20190
Fairfax County (703) 709-1500
HAMEDEH X KARAMAT PHARM D
Pharmacist
1890 METRO CENTER DR
RESTON, VA 20190
Fairfax County (703) 709-1502
MRS. NINA MARIE REDLIN
Pharmacist
1890 METRO CENTER DR
RESTON, VA 20190
Fairfax County (703) 709-1563
PHI ANH NGUYEN PHARM D
Pharmacist
1890 METRO CENTER DR
RESTON, VA 20190
Fairfax County (703) 709-1560
ANITA M. BUDHRANI PHARM D.
Pharmacist
1890 METRO CENTER DR
RESTON, VA 20190
Fairfax County (703) 709-1593
MR. JOHNNIE BROOKS MILOM R.PH.
Pharmacist
1890 METRO CENTER DR
RESTON, VA 20190
Fairfax County (703) 709-1723
GIANG NGUYEN
Pharmacist
1890 METRO CENTER DR
RESTON, VA 20190
Fairfax County (703) 709-1560
MS. ANNA VO R.PH
Pharmacist
1890 METRO CENTER DR
RESTON, VA 20190
Fairfax County (703) 709-1836

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 1417595505. It was assigned to this organization in the NPPES registry on December 19, 2019.

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 1890 Metro Center Dr, Reston, VA 20190. The listed phone number is (703) 709-1500.

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 with the weekly NPPES data releases published by CMS.