KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1962108753
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Rockville, MD
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 1962108753), doing business as Kaiser Permanente Shady Grove Peritoneal Dialysis Facility, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Rockville, Maryland and active in the NPI registry since February 2023. The organization lists Colleen Swinton, Director, Regional Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Dialysis Facility Quality Ratings CMS Care Compare
Quality ratings, services and patient survey results for Shady Grove Peritoneal Dialysis Center (CMS certification number 212752), from CMS Care Compare.
Shady Grove Peritoneal Dialysis Center
Dialysis facility · Rockville, MDOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKVILLE, MD 20850
ROCKVILLE, MD 20850
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 1962108753. It was assigned to this organization in the NPPES registry on February 2, 2023. The provider is doing business as Kaiser Permanente Shady Grove Peritoneal Dialysis Facility.
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 1396 Piccard Dr, Rockville, MD 20850. The listed phone number is (301) 548-5700.
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 End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
Is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc a Medicare-certified dialysis facility?
Yes. Shady Grove Peritoneal Dialysis Center is a Medicare-certified dialysis facility, certified since October 23, 2023.
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 October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc · NPI 1962108753
End-Stage Renal Disease (ESRD) Treatment organization in Rockville, Maryland. Organization record, active in the CMS NPPES registry since February 2, 2023.
## Identity
- **NPI:** 1962108753 (Entity type: Organization)
- **Enumerated:** February 2, 2023
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Also known as:** Kaiser Permanente Shady Grove Peritoneal Dialysis Facility (Doing Business As)
- **Organization subpart:** Yes (part of Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc.)
- **Authorized official:** Colleen Swinton, DIRECTOR, REGIONAL CREDENTIALING
## Practice location
- **Address:** 1396 PICCARD DR, Rockville, MD 20850-4302
- **Phone:** (301) 548-5700
## Record status
- **NPPES last updated:** October 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962108753) · Data from the CMS NPPES public registry.