KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1831471713
Health Maintenance Organization in Gaithersburg, MD

Active since September 15, 2011
655 WATKINS MILL RD, GAITHERSBURG, MD 20879(301) 258-7700(301) 816-7170 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2025, May 27, 2021 (2 updates tracked since 2021).

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 1831471713), doing business as Kaiser Permanente Gaithersburg Medical Center, is a healthcare organization registered as a health maintenance organization in Gaithersburg, Maryland and active in the NPI registry since September 2011. The organization lists Colleen Swinton, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1831471713
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Location Address655 WATKINS MILL RDGaithersburg, MD 20879-3323
Mailing Address4000 Garden City DrHyattsville, MD 20785-2418 · (301) 816-2424
Fax(301) 816-7170
Organization SubpartYes
Authorized OfficialColleen SwintonCredentialing Director · (301) 257-2797
Enumeration DateSeptember 15, 2011
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1831471713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
Definition
(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.
655 WATKINS MILL RD, Gaithersburg, MD 20879

Other Names 1

Doing Business AsKaiser Permanente Gaithersburg Medical Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,486

Medicare enrollment records show 2,486 clinicians reassign Medicare billing to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc, which bills Medicare for the services they deliver. Of these, 85 practice at this address and 210 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Internal Medicine518
Family Practice261
Obstetrics/Gynecology189
Emergency Medicine181
Anesthesiology169
Pediatric Medicine113
Diagnostic Radiology90
Optometry81
55 other specialties884

Nearest to this location (20)

See all 2,486
Internal Medicine
NPI 1710676705
655 WATKINS MILL RD
Gaithersburg, MD 20879
(240) 632-4000
✔ PECOSSame address
Neurology
NPI 1811121304
655 WATKINS MILL RD
Gaithersburg, MD 20879
(240) 632-4900
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1043499270
655 WATKINS MILL RD
Gaithersburg, MD 20879
(240) 632-4075
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1255135760
655 WATKINS MILL RD
Gaithersburg, MD 20879
(240) 632-4000
Same address
Emergency Medicine
NPI 1881639243
655 WATKINS MILL RD
Gaithersburg, MD 20879
(202) 374-8819
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1669578597
655 WATKINS MILL RD
Gaithersburg, MD 20879
(703) 359-7878
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1528388824
655 WATKINS MILL RD
Gaithersburg, MD 20879
(240) 632-4325
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1881816866
655 WATKINS MILL RD
Gaithersburg, MD 20879
(240) 632-4300
✔ PECOSSame address
Dermatology
NPI 1205248853
655 WATKINS MILL RD
Gaithersburg, MD 20879
(202) 308-9295
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1780754549
655 WATKINS MILL RD KAISER PERMANENTE GAITHERSBURG MEDICAL CENTER
Gaithersburg, MD 20879
(240) 632-4000
✔ Accepts MedicareSame address
Urology
NPI 1427209808
655 WATKINS MILL RD
Gaithersburg, MD 20879
(202) 741-3100
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1528466349
655 WATKINS MILL RD
Gaithersburg, MD 20879
(240) 632-4000
✔ Accepts MedicareSame address
General Surgery
NPI 1447303458
655 WATKINS MILL RD FL 6
Gaithersburg, MD 20879
(240) 632-4475
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1386901932
655 WATKINS MILL RD
Gaithersburg, MD 20879
(240) 632-4000
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1578893947
655 WATKINS MILL RD RADIOLOGY DEPARTMENT
Gaithersburg, MD 20879
(301) 848-5786
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1700045242
655 WATKINS MILL RD KAISER PERMANENTE GAITHERSBURG MEDICAL CENTER
Gaithersburg, MD 20879
(240) 632-4000
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1841358801
655 WATKINS MILL RD
Gaithersburg, MD 20879
(240) 632-4825
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1164486510
655 WATKINS MILL RD
Gaithersburg, MD 20879
(240) 632-4375
✔ PECOS✔ Accepts MedicareSame address
Surgical Oncology
NPI 1699719880
655 WATKINS MILL RD
Gaithersburg, MD 20879
(240) 632-4475
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1831779677
655 WATKINS MILL RD FL 5
Gaithersburg, MD 20879
(240) 632-4021
✔ PECOS✔ Accepts MedicareSame address
See all 2,486 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1831471713. It was assigned to this organization in the NPPES registry on September 15, 2011. The provider is doing business as Kaiser Permanente Gaithersburg Medical Center.

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 655 Watkins Mill Rd, Gaithersburg, MD 20879. The listed phone number is (301) 258-7700.

What is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc enrolled in Medicare?

Yes. Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,486 clinicians in 63 Medicare specialties reassign their Medicare billing to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (518), Family Practice (261) and Obstetrics/Gynecology (189). Of these, 85 practice at this address and 210 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.