DR. DONNA KHODARAHMI WREN (MD) – Pediatrics Physician, NPI 1376533539

DR. DONNA KHODARAHMI WREN (MD) is a healthcare provider. based in Charlestown, Massachusetts. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 153785 (MA). The NPI Number for DR. DONNA KHODARAHMI WREN (MD) is 1376533539

Main info

Female
Name
DR. DONNA KHODARAHMI WREN (MD)
NPI
1376533539
Phone
(617) 724-0287
Address
PO BOX 9142
Enumeration Date
27 October 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DONNA KHODARAHMI WREN (MD)

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    MASS GENERAL PHYSICIAN ORGANIZATION

    CHARLESTOWN, MA 021299142

    Phone: (617) 724-0287

    Fax: (617) 726-2894

    Type: Mailing

  • North Shore Medical Center - Salem Hospital, 81, Highland Avenue, Salem, Essex County, Massachusetts, 01970, United States

    NORTH SHORE MEDICAL CENTER

    SALEM, MA 019702714

    Phone: (978) 354-2815

    Fax: (978) 740-4702

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $245.

Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.

Last reported payment date: 2024-03-11 • Largest payer in this snapshot: PFIZER INC. ($87).

Total Amount

$245

General + Research + Ownership

Payments

9

Total payment records

General Amount

$245

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-11

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2004-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040615000560IPediatric MedicineMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02129)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Does DR. DONNA KHODARAHMI WREN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. DONNA KHODARAHMI WREN (MD) uses 1376533539.
Does the file indicate DR. DONNA KHODARAHMI WREN (MD) is practicing under active NPI?
Directory data currently reports DR. DONNA KHODARAHMI WREN (MD) as active.
What is DR. DONNA KHODARAHMI WREN (MD) best known for clinically?
Directory data describes DR. DONNA KHODARAHMI WREN (MD) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What area does DR. DONNA KHODARAHMI WREN (MD) serve?
DR. DONNA KHODARAHMI WREN (MD)'s listing highlights Charlestown, Massachusetts; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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