OrganizationActive
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
NPI 1356462451 · Health Maintenance Organization · Rockville, MD
Provider details
- NPI number
- 1356462451
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Parent organization
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Organization subpart
- Yes
- Authorized official
- Colleen Swinton, Director, Credentialing(301) 257-2797
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1396 Piccard Dr
Rockville, MD 20850-4302
Phone: (301) 548-5700
Fax: (301) 548-5709
Street-level locationGet directions
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Other names (DBA / former)
- Doing business as
- Shady Grove Medical Center
- Doing business as
- Shady Grove Medical Center
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.