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 End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1962108753

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rockville, Maryland. Registered with an NPI since 2023.

In the registry since
2023
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

1396 Piccard Dr
Rockville, MD 20850-4302
Phone: (301) 548-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1962108753
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKaiser Foundation Health Plan of the Mid-Atlantic States, Inc
Authorized official Colleen Swinton — Director, Regional Credentialing · (301) 257-2797
Other names Kaiser Permanente Shady Grove Peritoneal Dialysis Facility
NPI enumeratedFebruary 2, 2023
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address4000 Garden City Dr, Hyattsville, MD 20785-2418

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