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MRS. KIMBERLY B. FOGARTY PAC
NPI 1053405027
Physician Assistant - Medical in Washington, DC

Active since October 03, 2006Opted out of Medicare · through Apr 1, 2027
2440 M ST NW, SUITE 205, WASHINGTON, DC 20037(202) 955-0003(866) 457-0397 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kimberly B. Fogarty Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY B. FOGARTY PAC (NPI 1053405027) is an individual medical provider in Washington, District Of Columbia, licensed in Virginia (0110001588) and active in the NPI registry since October 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053405027
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KIMBERLY B. FOGARTYCredential: PAC
Location Address2440 M ST NW, SUITE 205Washington, DC 20037-1404
Mailing Address2440 M St Nw, Suite 205Washington, DC 20037-1404 · (202) 955-0003 · Fax (866) 457-0397
Phone(202) 955-0003
Fax(866) 457-0397
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1053405027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110001588
2440 M ST NW, Washington, DC 20037
Open in Google Maps ↗

Other Identifiers 3

Other145453NC · License
Other0110001588VA · License
OtherPA030663DC · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Kimberly B. Fogarty Pac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2015 through April 1, 2027.

Opt-Out Effective DateApril 1, 2015
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL G. RUFF IV, PLLP
Plastic Surgery
2440 M ST NW, SUITE 200
WASHINGTON, DC 20037
District of Columbia (202) 785-4187
DR. PRAFUL MARUTI RAMINENI M.D.
Plastic Surgery
2440 M ST NW, SUITE 200
WASHINGTON, DC 20037
District of Columbia (202) 785-4187
DR. GEORGE BREN M.D.
Internal Medicine (Cardiovascular Disease)
2440 M ST NW, SUITE 804
WASHINGTON, DC 20037
District of Columbia (202) 785-4966
ERIN MARIE SLONINA FNP-C
Nurse Practitioner (Family)
2440 M ST NW, SUITE 422
WASHINGTON, DC 20037
District of Columbia (202) 466-5350
DR. LYNNE GOTS PHD
Psychologist (Clinical)
2440 M ST NW, SUITE 710
WASHINGTON, DC 20037
District of Columbia (202) 331-1566
DR. WILLIAM D. FABIAN JR. PH.D.
Psychologist (Clinical)
2440 M ST NW, SUITE 425
WASHINGTON, DC 20037
District of Columbia (202) 293-9737
KOUROSH KARIMI DDS PLLC
Dentist
2440 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 750-8718
DR. RAFAT ABBASI M.D.
Specialist
2440 M ST NW
WASHINGTON, DC 20037
District of Columbia (202) 293-6066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Fogarty's NPI number?

The NPI number for Kimberly Fogarty is 1053405027. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Kimberly Fogarty located?

Kimberly Fogarty practices at 2440 M St NW Suite 205, Washington, DC 20037. The listed phone number is (202) 955-0003.

What is Kimberly Fogarty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kimberly Fogarty enrolled in Medicare?

No. Kimberly Fogarty has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kimberly Fogarty was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.