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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

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).

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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