KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1972275196
Health Maintenance Organization in Woodbridge, VA

Active since October 05, 2021
13285 MINNIEVILLE ROAD, WOODBRIDGE, VA 22192(301) 816-2424 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 10, 2025, Oct 5, 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 1972275196), doing business as Kaiser Permanente Caton Hill Medical Center, is a healthcare organization registered as a health maintenance organization in Woodbridge, Virginia and active in the NPI registry since October 2021. The organization lists Colleen Swinton, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1972275196
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Location Address13285 MINNIEVILLE ROADWoodbridge, VA 22192
Mailing Address4000 Garden City DrHyattsville, MD 20785-2418 · (301) 816-2424
Organization SubpartYesParent: Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc.
Authorized OfficialColleen SwintonCredentialing Director · (301) 257-2797
Enumeration DateOctober 5, 2021
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1972275196 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.
13285 MINNIEVILLE ROAD, Woodbridge, VA 22192

Other Names 1

Doing Business AsKaiser Permanente Caton Hill 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

994

Medicare enrollment records show 994 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, 3 practice at this address and 70 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Internal Medicine199
Family Practice114
Diagnostic Radiology86
Anesthesiology79
Emergency Medicine78
Obstetrics/Gynecology75
Pediatric Medicine29
Ophthalmology28
41 other specialties306

Nearest to this location (20)

See all 994
Psychiatry
NPI 1740847052
13285 MINNIEVILLE RD
Woodbridge, VA 22192
(703) 986-2400
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1700414737
13285 MINNIEVILLE RD
Woodbridge, VA 22192
(800) 777-7904
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1669000576
13285 MINNIEVILLE RD
Woodbridge, VA 22192
(571) 552-5646
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1033269790
14139 POTOMAC MILLS ROAD
Woodbridge, VA 20192
(703) 490-7606
✔ PECOS1.5 mi
Obstetrics/Gynecology
NPI 1043388499
14139 POTOMAC MILLS RD KAISER PERMANENTE WOODBRIDGE MEDICAL CENTER
Woodbridge, VA 22192
(703) 490-8400
✔ PECOS1.5 mi
Internal Medicine
NPI 1841358835
14139 POTOMAC MILLS ROAD
Woodbridge, VA 22192
(703) 490-8400
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1952520330
14139 POTOMAC MILLS RD
Woodbridge, VA 22192
(703) 490-7800
✔ PECOS✔ Accepts Medicare1.5 mi
Internal Medicine
NPI 1003020975
14139 POTOMAC MILLS RD
Woodbridge, VA 22192
(703) 490-8400
✔ PECOS✔ Accepts Medicare1.5 mi
Pediatric Medicine
NPI 1700875226
14139 POTOMAC MILLS RD
Woodbridge, VA 22192
(703) 490-8400
✔ PECOS1.5 mi
Internal Medicine
NPI 1548268352
14139 POTOMAC MILLS RD KAISER PERMANENTE WOODBRIDGE MEDICAL CENTER
Woodbridge, VA 22192
(703) 490-7615
✔ PECOS✔ Accepts Medicare1.5 mi
Physical Therapist in Private Practice
NPI 1356475065
14139 POTOMAC MILLS RD
Woodbridge, VA 22192
(703) 490-7624
✔ Accepts Medicare1.5 mi
Family Practice
NPI 1972660900
14139 POTOMAC MILLS RD KAISER PERMANENTE WOODBRIDGE MEDICAL CENTER
Woodbridge, VA 22192
(703) 490-8400
✔ PECOS✔ Accepts Medicare1.5 mi
Pediatric Medicine
NPI 1194796250
14139 POTOMAC MILLS RD
Woodbridge, VA 22192
(703) 490-8400
✔ PECOS1.5 mi
Registered Dietitian or Nutrition Professional
NPI 1700064680
14139 POTOMAC MILLS RD KAISER PERMANENTE WOODBRIDGE MEDICAL CENTER
Woodbridge, VA 22192
(703) 490-8400
✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1447224167
14139 POTOMAC MILLS ROAD KAISER PERMANENTE WOODBRIDGE CENTER
Woodbridge, VA 22192
(703) 490-8400
✔ PECOS1.5 mi
Physical Therapist in Private Practice
NPI 1497136998
14139 POTOMAC MILLS RD
Woodbridge, VA 22192
(703) 359-7878
✔ Accepts Medicare1.5 mi
Emergency Medicine
NPI 1477874329
14139 POTOMAC MILLS RD
Woodbridge, VA 22192
(703) 359-7878
✔ PECOS✔ Accepts Medicare1.5 mi
Qualified Audiologist
NPI 1336399195
2070 OLD BRIDGE RD STE 103
Lake Ridge, VA 22192
(703) 499-8787
✔ Accepts Medicare1.7 mi
Hospitalist
NPI 1801054333
2300 OPITZ BLVD STE G-209
Woodbridge, VA 22191
(703) 523-0611
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1548338973
POTOMAC CENTER OFFICE 2296 OPITZ BLVD., STE. 300
Woodbridge, VA 22191
(703) 523-0998
✔ PECOS✔ Accepts Medicare2.7 mi
See all 994 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 1972275196. It was assigned to this organization in the NPPES registry on October 5, 2021. The provider is doing business as Kaiser Permanente Caton Hill 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 13285 Minnieville Road, Woodbridge, VA 22192. The listed phone number is (301) 816-2424.

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), 994 clinicians in 49 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 (199), Family Practice (114) and Diagnostic Radiology (86). Of these, 3 practice at this address and 70 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 October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.