KATHERINE DAVOREN MD
NPI 1356610406
Internal Medicine - Nephrology in Providence, RI

Q: What is Katherine Davoren's NPI number?

The NPI number for Katherine Davoren is 1356610406. It was assigned to this individual provider in the NPPES registry on December 19, 2011.

Q: What is Katherine Davoren's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Davoren was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 19, 2011PECOS EnrolledAccepts Medicare Assignment

1076 N MAIN ST, PROVIDENCE, RI 02904(401) 861-7711(401) 421-5710 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2021, Feb 11, 2021, Jan 28, 2021 and 1 more (4 updates tracked since 2019).

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About Katherine Davoren Md NPPES

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

KATHERINE DAVOREN MD (NPI 1356610406) is an individual nephrology provider in Providence, Rhode Island, licensed in Rhode Island (MD17448) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356610406

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameKATHERINE DAVORENCredential: MD

Location Address1076 N MAIN STProvidence, RI 02904-5760

Mailing Address1076 N Main StProvidence, RI 02904-5760 · (401) 861-7711 · Fax (401) 421-5710

Phone(401) 861-7711

Fax(401) 421-5710

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateDecember 19, 2011

Last NPPES UpdateMarch 12, 20214 updates tracked since enumeration

NPPES CertifiedMarch 12, 2021

✔ NPI 1356610406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in RI · MD17448

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1076 N MAIN ST, Providence, RI 02904

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Secondary Practice Locations 2

Location 1825 Chalkstone AveProvidence, RI 02908-4728 · Phone (401) 456-2000

Location 255 Lake Ave NWorcester, MA 01655 · Phone (508) 334-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Davoren Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658660568

PECOS Enrollment IDI20210506000669

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

330 services189 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

194 services56 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

137 services56 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

111 services54 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

77 services41 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

45 services43 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220074

Location363 Highland AvenueFall River, MA 02720 · Bristol County

Emergency services Birthing friendly

Roger Williams Medical Center

Acute Care Hospitals · Providence, RI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number410004

Location825 Chalkstone AvenueProvidence, RI 02908 · Providence County

Emergency services

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410005

Location200 High Service AvenueNorth Providence, RI 02904 · Providence County

Emergency services

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410010

Location101 Dudley StreetProvidence, RI 02905 · Providence County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

MR. NICHOLAS RYAN LAMBERTON PA

Physician Assistant