DR. WUDENEH MOLLA MULUGETA (M.D., M.P.H.) – Internal Medicine Physician, NPI 1922397918
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,056 INTERNAL MEDICINE in WA
Provider Addresses for DR. WUDENEH MOLLA MULUGETA (M.D., M.P.H.)
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 972322031
Phone: (800) 813-2000
Fax: (855) 524-5255
Type: Mailing
454 BROADWAY
REVERE, MA 021513034
Phone: (781) 485-8222
Fax: (781) 485-8220
Type: Mailing
7101 NE 137TH AVE
VANCOUVER, WA 986824933
Phone: (800) 813-2000
Type: Location
250 Kennedy Dr Apt 605
Malden, MA 021483318
Phone: (781) 485-8222
Type: Location
454 Broadway
Revere, MA 021513034
Phone: (781) 485-8222
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150909001534 | I | Internal Medicine | MA | TBD |
| I20211007000484 | I | Internal Medicine | WA | TBD |
| I20211208002776 | I | Internal Medicine | OR | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97232)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MA | |
| - | MA | |
| - | NH | |
| Rheumatology, Internal Medicine | MA | |
| - | MA | |
| Emergency Medicine | MA | |
| Family Practice | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| Emergency Medicine | MA | |
| Physician Assistant | MA |
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