Commercial

How to Get Credentialed with Kaiser Permanente in District Of Columbia

Network: Varies
60-90 Days CAQH Required

Quick Overview

Timeline

60 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

District Of Columbia-Specific Requirements

Kaiser Permanente Mid-Atlantic States covers DC, Maryland, and Virginia. Operates as a closed-model HMO. External community providers may credential for the referral network. Apply through KP Mid-Atlantic's community provider portal. DC medical license required. Limited external credentialing — priority for specialists in underserved areas.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for District Of Columbia.

2

Complete Your CAQH ProView Profile

Kaiser Permanente requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Kaiser Permanente.

4

Track & Follow Up

Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

5-year work history minimum; gaps > 6 months must be explained

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Medical Degree

Medical License

NPI Certificate

Professional Reference

3 peer references required

W9_FORM

Required for EFT/tax reporting setup

Enrollment Forms

CAQH ProView

Universal credentialing application used by most commercial and BCBS payers.

Required
Online Open →

Kaiser Permanente Provider Application

Required
Online

Contact Information

EDI Support

National

1-888-767-4670

ITEISSupportDL@kp.org

EFT/ERA (InstaMed)

National

1-877-833-6821

connect@instamed.com

Initial Credentialing (Northern CA)

National

Fax: 1-866-214-7584

Recredentialing (Northern CA)

National

Fax: 1-866-232-0147

Provider Services (WA)

National

1-888-767-4670

kpwa.provider-services@kp.org

Permanente Advantage

National

PermAdvantageTeam-KPPA@kp.org

Fax: 1-866-338-0266

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