NPI 1063317519 · live from the CMS NPI Registry
Foggy Bottom Physician Group INC.
Clinic/Center, Multi-Specialty in Washington, DC. National Provider Identifier 1063317519, active.
NPI record
| NPI | 1063317519 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Multi-Specialty 261QM1300X |
| Practice location | 2150 Pennsylvania Ave Nw Fl 3, Washington, DC 20037 |
| Practice phone | 202-741-2160 |
| Mailing address | 367 S Gulph Rd, King Of Prussia, PA 19406 |
| Enumerated | October 13, 2026 |
| Last updated | October 13, 2026 |
| Authorized official | Gary Simkus, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Clinic/Center, Multi-Specialty primary | 261QM1300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.