KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1417075318
Health Maintenance Organization in Frederick, MD

NPI Status: Active since March 27, 2007

Contact Information

7190 CRESTWOOD BOULEVARD
FREDERICK, MD
ZIP 21703
Phone: (240) 529-1700
Fax: (301) 816-7170

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  • Health Maintenance Organization

About KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

This page provides the complete NPI Profile along with additional information for Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc, a provider established in Frederick, Maryland operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1417075318 assigned on March 2007. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated July 2025. The provider's . The authorized official of this NPI record is Colleen E. Swinton (Credentialing Director)

NPI
1417075318
Provider Legal Name
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
7190 CRESTWOOD BOULEVARD FREDERICK, MD 21703
Location Phone
(240) 529-1700
Location Fax
(301) 816-7170
Mailing Address
4000 GARDEN CITY DR HYATTSVILLE, MD 20785
Mailing Phone
(301) 816-2424
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-27-2007
Last Update Date
07-24-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

COLLEEN E. SWINTON

Authorized Official Title
CREDENTIALING DIRECTOR
Authorized Official Phone
(301) 257-2797

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417075318
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2427071032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 0 + 7 + 1 + 0 + 3 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1417075318 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265615116 SELENA THOMAS MD
Individual
Obstetrics & Gynecology7190 CRESTWOOD BOULEVARD
FREDERICK, MD 21703
(240) 529-1765

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417075318, enumerated in the NPI registry as an "organization" on March 27, 2007

The provider is located at 7190 Crestwood Boulevard Frederick, Md 21703 and the phone number is (240) 529-1700

This medical organization specializes in Health Maintenance Organization with taxonomy code 302R00000X

This NPI record was last updated on March 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.