KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC – NPI #1912027152
Health Maintenance Organization
(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.
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC is a health maintenance organization (HMO) located in RESTON, VA. NPPES has assigned the NPI number 1912027152 to KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC on March 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 302R00000X from the Health Care Provider Taxonomy code set, which is classified as Health Maintenance Organization.
The NPI profile was last updated on Oct 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC below.
NPI Profile for
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
(more than 19 years ago)
RESTON, VA 20190-5286 Phone: (703) 709-1560 Fax:
HYATTSVILLE, MD 20785-2418 Phone: (301) 816-2424 Fax:
CREDENTIALING DIRECTOR
Phone: (301) 257-2797
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 302R00000X - Health Maintenance Organization (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways
- Endpoint type
- SOAP URL
- Endpoint Description
- CAREQUALITY
- Content Type
- OTHER
- Affiliation
- N
- Endpoint Location
-
2101 EAST JEFFERSON STREET,
ROCKVILLE, MD 77025-1669