Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Organization Health Maintenance Organization · NPI 1215058326

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is a Health Maintenance Organization in Fairfax, Virginia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12255 Fair Oaks Pkwy
Fairfax, VA 22033-3952
Phone: (703) 934-5700
Fax: (703) 934-5745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X

Record details

NPI number1215058326
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKaiser Foundation Health Plan of the Mid Atlantic States, Inc
Authorized official Colleen Swinton — Director, Credentialing · (301) 257-2797
Other names Fair Oaks Medical Center; Fair Oaks Medical Center
NPI enumeratedApril 3, 2007
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address4000 Garden City Dr, Hyattsville, MD 20785-2418

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