Active NPI
Foggy Bottom Physician Group Inc.
- Multi-Specialty Clinic/Center
- Washington, DC
National Provider Identifier
1124923768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- FOGGY BOTTOM PHYSICIAN GROUP INC.
- Practice address
- 2150 Pennsylvania Ave NW FL 5
Washington, DC 20037-3201 - Phone
- (202) 741-2500
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Simkus
- Title
- Cfo
- Phone
- (610) 382-4422
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary | |
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Maternal & Fetal Medicine Physician | 207VM0101X | NU |
Addresses
Primary practice location
2150 Pennsylvania Ave NW FL 5
Washington, DC 20037-3201
Mailing address
367 S Gulph Rd
King of Prussia, PA 19406-3121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791849600000",
"number": "1124923768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 S GULPH RD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW FL 5",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "202-741-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOGGY BOTTOM PHYSICIAN GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A",
"authorized_official_last_name": "SIMKUS",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "610-382-4422"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
- Kimberly B. Fogarty, PAC
- Diane Fogg, PEER SUPPORT SPEC.
- Davon Foggo-Adams, NP
- Foggy Bottom Dental
- Foggy Bottom Physician Group Inc.
- Foggy Bottom Physician Group Inc.
- Foggy Bottom Physician Group Inc.
- Foggy Bottom Physician Group Inc.
- Foggy Bottom Physician Group Inc.
- Foggy Bottom Physician Group Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.