MULUSEW TIBEBU GOSHE MD
NPI 1114714334
Family Medicine in Tacoma, WA

Active since April 22, 2025PECOS Enrolled
917 PACIFIC AVE STE 600, TACOMA, WA 98402(253) 844-4327 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mulusew Tibebu Goshe Md NPPES

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

MULUSEW TIBEBU GOSHE MD (NPI 1114714334) is an individual family medicine provider in Tacoma, Washington, licensed in Washington (ML70025000) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1114714334
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMULUSEW TIBEBU GOSHECredential: MD
Location Address917 PACIFIC AVE STE 600Tacoma, WA 98402-4437
Mailing Address3748 Elmside Village Ln Apt EPeachtree Corners, GA 30092-4876 · (619) 560-7276
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 22, 2025
Last NPPES UpdateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
NPI 1114714334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · ML70025000
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
917 PACIFIC AVE STE 600, Tacoma, WA 98402

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mulusew Tibebu Goshe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335657386
PECOS Enrollment IDI20250801001729
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98402 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 18

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

General Practice
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Family Medicine
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Family Medicine
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Family Medicine
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Internal Medicine (Nephrology)
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Student in an Organized Health Care Education/Training Program
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Internal Medicine
917 PACIFIC AVE STE 600
TACOMA, WA 98402
Internal Medicine
917 PACIFIC AVE STE 600
TACOMA, WA 98402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mulusew Goshe's NPI number?

The NPI number for Mulusew Goshe is 1114714334. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Mulusew Goshe located?

Mulusew Goshe practices at 917 Pacific Ave Ste 600, Tacoma, WA 98402. The listed phone number is (253) 844-4327.

What is Mulusew Goshe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mulusew Goshe enrolled in Medicare?

Yes. Mulusew Goshe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mulusew Goshe was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.