Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
NPI 1962108753 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rockville, MD
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Rockville, MD (NPI 1962108753).
Provider details
- NPI number
- 1962108753
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
- Organization subpart
- Yes
- Authorized official
- Colleen Swinton, Director, Regional Credentialing(301) 257-2797
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Kaiser Permanente Shady Grove Peritoneal Dialysis Facility
Registry dates
- Enumerated
- 2023-02-02
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Frequently asked questions
- What is Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's NPI number?
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier (NPI) is 1962108753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kaiser Foundation Health Plan of the Mid Atlantic States, Inc?
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kaiser Foundation Health Plan of the Mid Atlantic States, Inc located?
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's practice location on file with NPPES is 1396 Piccard Dr, Rockville, MD 20850-4302.
- What is Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's phone number?
- The practice phone number listed in the NPPES registry for Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is (301) 548-5700.
- Does Kaiser Foundation Health Plan of the Mid Atlantic States, Inc accept Medicare?
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kaiser Foundation Health Plan of the Mid Atlantic States, Inc?
- The authorized official listed on Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's NPPES record is Colleen Swinton, Director, Regional Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's NPI active?
- Yes — Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's NPI (1962108753) is active in the NPPES registry as of the last update on 2025-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.