KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1457090847
Health Maintenance Organization in Hyattsville, MD

NPI Status: Active since June 02, 2022

Contact Information

5620 AGER ROAD
HYATTSVILLE, MD
ZIP 20782
Phone: (301) 209-6000

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  • Organization
  • Health Maintenance Organization

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 Hyattsville, Maryland operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1457090847 assigned on June 2022. The practitioner's primary taxonomy code is 302R00000X. 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 E Swinton (Credentialing Director)

NPI
1457090847
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
5620 AGER ROAD HYATTSVILLE, MD 20782
Location Phone
(301) 209-6000
Mailing Address
4000 GARDEN CITY DR HYATTSVILLE, MD 20785
Mailing Phone
(301) 816-2424
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-02-2022
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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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 E SWINTON

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

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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 1457090847, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 5 → 10 → 1 0 → 0 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 0 + 9 + 0 + 8 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1457090847.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacy (Managed Care Organization Pharmacy)
5620 AGER ROAD
HYATTSVILLE, MD 20782
Clinical Medical Laboratory
5620 AGER ROAD
HYATTSVILLE, MD 20782

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457090847, enumerated as an "organization" on June 02, 2022.

The provider is located at 5620 AGER ROAD HYATTSVILLE, MD 20782 and the phone number is (301) 209-6000.

Health Maintenance Organization with taxonomy code 302R00000X.