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DR. ADAM YANIV ELISHA D.O.
NPI 1619395068
Internal Medicine - Rheumatology in Duluth, MN

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
1000 E 1ST ST STE 302, DULUTH, MN 55805(218) 249-6960(218) 249-6969 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2021, Dec 4, 2020, Oct 1, 2019 and 4 more (7 updates tracked since 2017).

About Dr. Adam Yaniv Elisha D.o. NPPES

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

DR. ADAM YANIV ELISHA D.O. (NPI 1619395068) is an individual rheumatology provider in Duluth, Minnesota, licensed in Minnesota (65241) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2010).

NPPES Registry Identity

NPI1619395068
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. ADAM YANIV ELISHACredential: D.O.
Location Address1000 E 1ST ST STE 302Duluth, MN 55805
Mailing Address1000 E 1st St Ste 302Duluth, MN 55805-2297 · (218) 249-6960 · Fax (218) 249-6969
Phone(218) 249-6960
Fax(218) 249-6969
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2010
Enumeration DateApril 2, 2014
Last NPPES UpdateSeptember 22, 20217 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1619395068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MN · 65241
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 65241 (MN), OT018163 (PA)
1000 E 1ST ST STE 302, Duluth, MN 55805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Adam Yaniv Elisha D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416226451
PECOS Enrollment IDI20191010001056
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Adam Elisha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Hospital Of Duluth
Same address
Endocrinology, Diabetes & Metabolism
1000 E 1ST ST STE LL
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota enrollment
  • 513 clinicians in this Medicare group
NPI 1093769796 (218) 249-7890
Lake View Memorial Hospital, Inc
26 mi
Critical Access
325 11TH AVE
Two Harbors, MN 55616
  • Reassigned Medicare billing, Minnesota enrollment
  • 95 clinicians in this Medicare group
NPI 1023067642 (218) 834-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services75 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Riverwood Healthcare Center

Critical Access Hospitals · Aitkin, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241305
Location200 Bunker Hill DriveAitkin, MN 56431 · Aitkin County
Emergency services

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241308
Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County
Emergency services

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241364
Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County
Emergency services

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521359
Location1615 Maple LaneAshland, WI 54806 · Ashland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 2

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

ST. LUKE'S HOSPITAL OF DULUTH
Internal Medicine (Rheumatology)
1000 E 1ST ST STE 302
DULUTH, MN 55805
St. Louis County (218) 249-6960
DR. THOMAS RICHARD SEIDELMANN DDS
Dentist (Oral and Maxillofacial Surgery)
1000 E 1ST ST STE 302
DULUTH, MN 55805
St. Louis County (218) 722-1854

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 Adam Elisha's NPI number?

The NPI number for Adam Elisha is 1619395068. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Adam Elisha located?

Adam Elisha practices at 1000 E 1st St Ste 302, Duluth, MN 55805. The listed phone number is (218) 249-6960.

What is Adam Elisha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Adam Elisha enrolled in Medicare?

Yes. Adam Elisha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Adam Elisha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Elisha reassigns Medicare benefits to 2 organizations: St. Luke's Hospital Of Duluth (Duluth, MN) and Lake View Memorial Hospital, Inc (Two Harbors, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Elisha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Elisha accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Adam Elisha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adam Elisha affiliated with any hospitals?

According to CMS data, Adam Elisha is affiliated with St Lukes Hospital, Riverwood Healthcare Center, Lake View Memorial Hospital, Community Memorial Hospital and Tamarack Health Ashland Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Elisha was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.