Individual provider Active NPI

Moshe Beracha Kovachevich, MD

  • Internal Medicine Physician
  • Eugene, OR
National Provider Identifier
1861657975
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD28403 Issued in OR
Practice address
1919 Woodlawn Ave
Eugene, OR 97403-1887
Phone
(718) 502-5750
NPI assigned
Jul 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD61046664 WA
Internal Medicine Physician 207R00000X MD28403 OR Primary
Hospitalist Physician 208M00000X MD28403 OR

Addresses

Primary practice location

1919 Woodlawn Ave
Eugene, OR 97403-1887

Mailing address

175 W B St BLDG K2
Springfield, OR 97477-4575
Phone (718) 502-5750

Other practice location 1

600 E Main St
Elma, WA 98541-9560
Phone (360) 346-2222

Other names 1

  • Mosa Kovacevic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, MN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20081009000240 OR Practitioner - Internal MedicinePractitioner - Hospitalist 7911075593 Reassigns benefits to 3 organizations
I20220621002434 WA Practitioner - Internal Medicine 7911075593 Reassigns benefits to 4 organizations
I20250214000993 MN Practitioner - Internal Medicine 7911075593 Reassigns benefits to 3 organizations
I20250313002955 MN Practitioner - Hospitalist 7911075593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians
Northwest Hospital Medicine Physicians LLCGroup PAC ID 6406805449, 67 clinicians
Fairview Health ServicesGroup PAC ID 1951213057, 677 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians
Public Hospital District No 4 King County WashingtonGroup PAC ID 6002700861, 85 clinicians

Practice addresses (Care Compare)

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

1919 Woodlawn Ave
Eugene, OR 97403-1887
Phone (718) 502-5750

5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313

919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2313

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Roseburg, OR, CCN 387311
  • Serenity Hospice Hospice, Eugene, OR, CCN 381567
  • Island Hospital Hospital, Anacortes, WA, CCN 500007
  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027
  • Summit Pacific Medical Center Hospital, Elma, WA, CCN 501304
  • Sacred Heart Medical Center - Riverbend Inpatient rehabilitation facility, Springfield, OR, CCN 38T102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD28403ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 4 King County Washington CurrentSince Jul 1, 2022 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jan 1, 2025 Accepting new patients
Fairview Health Services CurrentSince Feb 1, 2025 Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Nov 24, 2022 Accepting new patients
Range Regional Health Services Current Accepting new patients
Grays Harbor County Public Hospital District No. 1 CurrentSince Nov 24, 2022 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jan 1, 2025 Accepting new patients
Peacehealth Hospitalist CurrentSince Oct 12, 2020 Accepting new patients
Range Regional Health Services CurrentSince Feb 28, 2025 Accepting new patients
Fairview Health Services Hospitalist CurrentSince Feb 1, 2025 Accepting new patients
Daiya Healthcare PLLC Internal Medicine CurrentSince Sep 5, 2023 Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine CurrentSince Jul 12, 2023 Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Nov 24, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jul 1, 2022 Accepting new patients
Range Regional Health Services CurrentSince Feb 28, 2025 Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients
Centennial Medical Group Inc. Hospitalist Past Accepting new patients
Public Hospital District No 4, King County Wa Internal Medicine Past Accepting new patients
Peacehealth Past Accepting new patients

Locations

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1735 Adkins St
Eugene, OR 97401
Phone (541) 683-5032

10435 SE Cora St
Portland, OR 97266
Phone (503) 760-1737

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713

610 E Main St
Elma, WA 98541
Phone (360) 346-2222

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300

Interoperability endpoints

  • Direct secure messaging: mberacha@yourcarecommunity.org
  • Direct secure messaging: mkovachevich2640546@fairview.direct-ci.com
  • Direct secure messaging: mberachakovachevich190558@direct.peacehealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Serenity Palliative Care and Hospice LLCEugene, OR, CCN 381567 Hospice W-2 Managing Employee Apr 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 21

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

View all 21

Hospital & facility affiliations 8

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1861657975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W B ST BLDG K2",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774575",
            "telephone_number": "718-502-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 WOODLAWN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031887",
            "telephone_number": "718-502-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E Main St",
            "address_purpose": "LOCATION",
            "city": "Elma",
            "state": "WA",
            "postal_code": "985419560",
            "country_code": "US",
            "telephone_number": "360-346-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERACHA KOVACHEVICH",
        "first_name": "MOSHE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61046664",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD28403",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD28403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOSA",
            "last_name": "KOVACEVIC",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.