Individual provider Active NPI

Titus Barngetuny Kosgei, CNP

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1376099572
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201605827NP-PP Issued in OR
Practice address
Peacehealth Medical Group
2484 River Road
Eugene, OR 97404
Phone
(541) 222-7600
NPI assigned
Aug 28, 2016
Last updated
Aug 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201605827NP-PP OR Primary

Addresses

Primary practice location

Peacehealth Medical Group
2484 River Road
Eugene, OR 97404

Mailing address

Peacehealth Medical Group
2484 River Road
Eugene, OR 97404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026001283 OR Practitioner - Nurse Practitioner 9931487949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

2484 River Rd
Eugene, OR 97404-2042
Phone (541) 222-7650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201605827NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group CurrentSince Nov 28, 2016 Accepting new patients
Peacehealth Medical Group Cottage Grove CurrentSince May 25, 2018 Accepting new patients
Peacehealth Current Accepting new patients

Locations

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

180 Melton Rd
Creswell, OR 97426
Phone (541) 222-7700

38843 Dexter Rd
Dexter, OR 97431
Phone (541) 767-5200

1200 Hilyard St
Ste S110
Eugene, OR 97401
Phone (458) 205-6011

2484 River Rd
Eugene, OR 97404
Phone (541) 222-7600

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

35859 Highway 58
Pleasant Hill, OR 97455
Phone (541) 767-5200

Interoperability endpoints

  • Direct secure messaging: tkosgei320291@direct.peacehealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1376099572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PEACEHEALTH MEDICAL GROUP",
            "address_2": "2484 RIVER ROAD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEACEHEALTH MEDICAL GROUP",
            "address_2": "2484 RIVER ROAD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97404",
            "telephone_number": "541-222-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSGEI",
        "first_name": "TITUS",
        "middle_name": "BARNGETUNY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201605827NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.