Active NPI
Moshe Beracha Kovachevich, MD
- Internal Medicine Physician
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD28403
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Serenity Hospice
- Island Hospital
- Sacred Heart Medical Center - Riverbend
- Mercy Medical Center
- Summit Pacific Medical Center
- Sacred Heart Medical Center - Riverbend
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD28403 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Grays Harbor County Public Hospital District No 1 | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Grays Harbor County Public Hospital District No. 1 | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Peacehealth | Hospitalist | Current | Accepting new patients |
| Range Regional Health Services | Current | Accepting new patients | |
| Fairview Health Services | Hospitalist | Current | Accepting new patients |
| Daiya Healthcare PLLC | Internal Medicine | Current | Accepting new patients |
| Northwest Hospital Medicine Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Grays Harbor County Public Hospital District No 1 | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| Range Regional Health Services | Current | 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
- mberacha@yourcarecommunity.org
- mkovachevich2640546@fairview.direct-ci.com
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Serenity Palliative Care and Hospice LLC | 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.
-
- Community Based Hospice Care Agency
- Eugene, OR
- NPI 1801313200
W-2 Managing Employee
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.
-
- General Acute Care Hospital
- Grand Rapids, MN
- NPI 1669426631
-
- Hospitalist Physician
- Las Cruces, NM
- NPI 1972056752
Internal Medicine, OR
-
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
- Internal Medicine Physician
- Eugene, OR
- NPI 1093253825
-
- Hospitalist Physician
- Springfield, OR
- NPI 1740223874
-
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1477027381
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Community/Retail Pharmacy
- Grand Rapids, MN
- NPI 1225441157
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Roseburg, OR
- NPI 1093908725
-
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
-
- Rehabilitation Hospital Unit
- Springfield, OR
- NPI 1316711633
Inpatient rehabilitation facility
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
-
- Community Based Hospice Care Agency
- Eugene, OR
- NPI 1801313200
-
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
-
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.