DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP)) – Acute Care Nurse Practitioner, NPI 1336628551

DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP)) is a healthcare provider. based in Richmond, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP (DNP). They hold a License No. 0024175864 (VA). The NPI Number for DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP)) is 1336628551

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP))
NPI
1336628551
Phone
(804) 358-6100
Address
PO BOX 91734
Enumeration Date
8 August 2018
Last Update Date
29 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
4342499752
Graduation Year
2018 (8 years ago)
PAC ID
2567700107
Group Practice PAC ID
7618327081
Professional Enrollment ID
I20190206002779
Address ID
VA224087762FR4621XPKWY300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

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Provider Addresses for DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP))

  • Richmond Drive, Middletown, New Castle County, Delaware, United States

    RICHMOND, VA 232919734

    Phone: (804) 358-6100

    Fax: (804) 342-7619

    Type: Mailing

  • 417, North 11th Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States

    RICHMOND, VA 23298

    Phone: (804) 828-7748

    Fax: (804) 827-0285

    Type: Location

  • 1215 Lee St

    Charlottesville, VA 229080816

    Phone: (434) 924-0000

    Type: Location

  • 1250 E Marshall St

    Richmond, VA 232985051

    Phone: (804) 828-7748

    Fax: (804) 827-0285

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-09-15 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($36).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190206002779INurse PractitionerVATBD
I20230404001662INurse PractitionerDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2,440431$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes898306$0
99316Nursing facility discharge management, more than 30 minutes2322$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi1313$0
View full utilization report →

Insurance plans in this area (ZIP 23291)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618327081View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

Is there an official ID for DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP)) in U.S. healthcare records?
The official identifier for DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP)) is NPI 1336628551.
Is DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP)) still an active registrant?
DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP)) carries an active NPI according to the public dataset.
How would a patient describe DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP))'s focus?
For DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP)), the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP))?
Travel planning: use Richmond, Virginia as the reference point for DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP)), then confirm.
Can I trust this NPI listing for DR. TILAHUN MEKONNEN GOSHU (AGACNP (DNP))?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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