Foggy Bottom Physician Group Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FOGGY BOTTOM PHYSICIAN GROUP INC.

Practice address

1860 Town Center Dr Ste 420
Reston, VA 20190-5901

Phone

(571) 313-0349

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

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 2

Addresses

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": "1578468120",
    "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": "1860 TOWN CENTER DR STE 420",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905901",
            "telephone_number": "571-313-0349"
        }
    ],
    "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": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew A Fitzer, MD
• Lunei Lacerna Fitzsimmons, M.D.
• Beth Ann Flaherty
• Thomas B Fleeter, M.D.
• Diane Deng Flexsenhar, D.D.S
• Foot and Ankle Specialists of the Mid-Atlantic LLC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC (Reston Foot and Ankle Center)
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Martin Seth Forman, M.D
• Nickolas Patrick Forsberg, PA-C

• Multi-Specialty Clinic/Center in Reston, VA
• Providers in Reston, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• 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.

Verify at the official NPI Registry.