KATHERINE DAVOREN (MD) – Nephrology Physician, NPI 1356610406

KATHERINE DAVOREN (MD) is a healthcare provider. based in Worcester, Massachusetts. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. MD17448 (RI). The NPI Number for KATHERINE DAVOREN (MD) is 1356610406

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE DAVOREN (MD)
NPI
1356610406
Phone
(508) 334-1000
Address
55 LAKE AVE N
Enumeration Date
19 December 2011
Last Update Date
12 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4018617711
Graduation Year
2014 (12 years ago)
PAC ID
1658660568
Group Practice PAC ID
4981619558
Professional Enrollment ID
I20210506000669
Address ID
RI028861692WA400XXRDXX406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

458 NEPHROLOGY in MA

Provider Addresses for KATHERINE DAVOREN (MD)

  • 55 LAKE AVE N

    WORCESTER, MA 016550002

    Phone: (508) 334-1000

    Type: Mailing

  • 1076 N MAIN ST

    PROVIDENCE, RI 029045760

    Phone: (401) 861-7711

    Fax: (401) 421-5710

    Type: Mailing

  • 825 Chalkstone Ave

    Providence, RI 029084728

    Phone: (401) 456-2000

    Type: Location

  • 55 Lake Ave N

    Worcester, MA 01655

    Phone: (508) 334-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 149 Open Payments records for all available years, with a total value of $3,369.

Total Amount is formed as General ($3,369) + Research ($0) + Ownership ($0) = $3,369.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($684).

Total Amount

$3,369

General + Research + Ownership

Payments

149

Total payment records

General Amount

$3,369

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210506000669INephrologyRITBD
I20260210003404INephrologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes232146$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17570$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)9656$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7965$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6335$0
View full utilization report →

Insurance plans in this area (ZIP 01655)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981619558View full group profile
NameSpecialtyState
-RI
N E P H R O L O G YMA
Nephrology, Internal MedicineRI
Nephrology, Internal MedicineRI

Reviews

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Frequently asked questions

Is KATHERINE DAVOREN (MD) listed with a National Provider Identifier?
Yes — KATHERINE DAVOREN (MD) has NPI 1356610406 on file in the registry.
Is there an active status for KATHERINE DAVOREN (MD)?
For scheduling context, KATHERINE DAVOREN (MD) is shown as active in the registry.
What kind of doctor is KATHERINE DAVOREN (MD)?
KATHERINE DAVOREN (MD) is associated with Nephrology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is KATHERINE DAVOREN (MD) associated with Worcester?
Public fields place KATHERINE DAVOREN (MD) around Worcester, Massachusetts. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KATHERINE DAVOREN (MD) is noted as December 19, 2011 where the registry provides it.

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