KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC is a provider specialising in Health Maintenance Organization in Halethorpe, MD, registered under NPI 1043378656. This provider registers 11 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is KAISER PERMANENTE-SOUTH BALTIMORE 1701 TWIN SPRINGS ROAD, Halethorpe, MD 21227. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3779495858
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Health Maintenance Organization covers
(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. NUCC Health Care Provider Taxonomy, code 302R00000X
All registered taxonomy codes
This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | — | — | primary |
| 103T00000X | Psychologist | — | — | |
| 133N00000X | Nutritionist | — | — | |
| 163WP0200X | Pediatric Registered Nurse Pediatrics | — | — | |
| 207K00000X | Allergy & Immunology Physician | — | — | |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician Endocrinology, Diabetes & Metabolism | — | — | |
| 207RG0100X | Gastroenterology Physician Gastroenterology | — | — | |
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | — | — | |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | |
| 208200000X | Plastic Surgery Physician | — | — | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1043378656 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 5, 2006 |
| Last updated | Jul 24, 2025 |
| Status | Deactivated |
| Sole proprietor | No |
| Practice address |
KAISER PERMANENTE-SOUTH BALTIMORE 1701 TWIN SPRINGS ROAD Halethorpe, MD 21227 (410) 737-5000 Fax (443) 263-7381 |
| Mailing address |
4000 GARDEN CITY DRIVE 4TH FLOOR PPQA Hyattsville, MD 20785 |
| Other identifiers |
K679
· MEDICARE GROUP ID (MD) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 4 | 3 | 3 | 7 | 8 | 6 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 8 | 3 | 6 | 7 | 7 | 6 | 1 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.