KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1952461816
Health Maintenance Organization in Annapolis, MD

NPI Status: Active since December 11, 2006

Contact Information

888 BESTGATE ROAD
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 571-7300
Fax: (410) 571-7309

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  • Organization
  • Health Maintenance Organization
  • CLIA Number: 21D1007782
  • CLIA Cert. Type: Health Main. Organization
  • CLIA Exp. Date: 01-21-2026

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 Annapolis, Maryland operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1952461816 assigned on December 2006. 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. Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mrs. Colleen Swinton (Credentialing Director)

NPI
1952461816
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
888 BESTGATE ROAD ANNAPOLIS, MD 21401
Location Phone
(410) 571-7300
Location Fax
(410) 571-7309
Mailing Address
4000 GARDEN CITY DR HYATTSVILLE, MD 20785
Mailing Phone
(301) 816-2424
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-11-2006
Last Update Date
10-10-2025
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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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 
2133N00000XDietary & Nutritional Service Providers

Nutritionist

 
3152W00000XEye and Vision Services Providers

Optometrist

 
4207K00000XAllopathic & Osteopathic Physicians

Allergy & Immunology

 
5207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
6207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
7207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
8207RG0100XAllopathic & Osteopathic Physicians

Internal Medicine
Gastroenterology

 
9207RS0012XAllopathic & Osteopathic Physicians

Internal Medicine
Sleep Medicine

 
10207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
11207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
122084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
132085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
14213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MRS. COLLEEN SWINTON

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D1007782
Facility Type
Health Main. Organization
Certificate Effective Date
January 22, 2024
Certificate Expiration Date
January 21, 2026
Laboratory Director
DR. REGGIE ZHAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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 1952461816, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 4 → 8 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 0 + 2 + 8 + 6 + 2 + 8 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1952461816.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Specialist
888 BESTGATE ROAD, SUITE 211
ANNAPOLIS, MD 21401
Surgery (Plastic and Reconstructive Surgery)
888 BESTGATE ROAD, SUITE 208
ANNAPOLIS, MD 21401
Internal Medicine
888 BESTGATE ROAD, SUITE 102
ANNAPOLIS, MD 21401
Optometrist (Pediatrics)
888 BESTGATE ROAD, SUITE 102
ANNAPOLIS, MD 21401
Dentist (General Practice)
888 BESTGATE ROAD, SUITE 101
ANNAPOLIS, MD 21401
Clinical Medical Laboratory
888 BESTGATE ROAD
ANNAPOLIS, MD 21401
Pharmacy (Managed Care Organization Pharmacy)
888 BESTGATE ROAD
ANNAPOLIS, MD 21401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952461816, enumerated as an "organization" on December 11, 2006.

The provider is located at 888 BESTGATE ROAD ANNAPOLIS, MD 21401 and the phone number is (410) 571-7300.

Health Maintenance Organization with taxonomy code 302R00000X.