DR. ADAM S GORRA M.D.
NPI 1730260803
Surgery - Pediatric Surgery in Sioux Falls, SD

NPI Status: Active since October 17, 2006

Contact Information

1600 W 22ND ST
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 312-1000

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Surgery
Pediatric Surgery
Accepts Insurance
PECOS Enrolled

About ADAM GORRA

This page provides the complete NPI Profile along with additional information for Adam Gorra, a provider established in Sioux Falls, South Dakota with a medical specialization in Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1730260803 assigned on October 2006. The practitioner's primary taxonomy code is 2086S0120X with license number 01077484 (IN). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI: 1730260803
Provider Name: DR. ADAM S GORRA M.D.
Gender: Male
Entity Type: Individual
Location Address: 1600 W 22ND ST SIOUX FALLS, SD 57105
Location Phone: (605) 312-1000
Mailing Address: 3926 NEW VISION DR BLDG H FORT WAYNE, IN 46845
Mailing Phone: (260) 266-8213
Mailing Fax
Is Sole Proprietor?: Yes
Enumeration Date: 10-17-2006
Last Update Date: 07-26-2024
Code Navigator

Location Map

Secondary Locations

202 Conway Dr Ste 200
Kalispell, MT 59901
(406) 758-7490

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Surgery Pediatric Surgery
Taxonomy Code: 2086S0120X
Type: Allopathic & Osteopathic Physicians
License No.: 01077484
License State: IN
Taxonomy Description: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	208600000X	Allopathic & Osteopathic Physicians	Surgery	EC-05-100 (ME)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

AmeriHealth Caritas Next

AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
AmeriHealth Caritas Next Silver Signature + No Referrals - HMO

Blue Cross and Blue Shield of Montana

Blue Focus Bronze POS? 205 - POS
Blue Focus Bronze POS? 705 - POS
Blue Focus Bronze POS? Standard - POS
Blue Focus Gold POS? 207 - POS
Blue Focus Gold POS? 902 - POS
Blue Focus Gold POS? Standard - POS
Blue Focus Silver POS? 206 - POS
Blue Focus Silver POS? 903 - POS
Blue Focus Silver POS? Standard - POS
Blue Preferred Bronze PPO? 201 - PPO
Blue Preferred Bronze PPO? 202 - PPO
Blue Preferred Bronze PPO? Standard - PPO
Blue Preferred Gold PPO? 204 - PPO
Blue Preferred Gold PPO? 901 - PPO
Blue Preferred Gold PPO? Standard - PPO
Blue Preferred Security PPO? 200 - PPO
Blue Preferred Silver PPO? 203 - PPO
Blue Preferred Silver PPO? 308 - PPO
Blue Preferred Silver PPO? Standard - PPO

Blue Cross and Blue Shield of Nebraska

HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO

Blue Cross Blue Shield of North Dakota

BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) - PPO
BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) - PPO
BlueCare Silver $20 PCP Copay ($5 Value Based Drug List) - PPO
BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) - PPO
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible - PPO
BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) - PPO
BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO

Highmark Blue Cross Blue Shield Delaware

my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
my Blue Access Select PPO Bronze 3800 - PPO
my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision - PPO
my Blue Access Select PPO Bronze 9200 - PPO
my Blue Access Select PPO Gold 0 - PPO
my Blue Access Select PPO Gold 0 + Adult Dental and Vision - PPO
my Blue Access Select PPO Gold 1700 HSA - PPO
my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision - PPO
my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision - PPO
my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision - PPO
my Blue Access Select PPO Standard Bronze 7500 - PPO
my Blue Access Select PPO Standard Gold 2000 - PPO
my Blue Access Select PPO Standard Gold 2000 + Adult Dental and Vision - PPO
my Blue Access Select PPO Standard Platinum 0 - PPO
my Blue Access Select PPO Standard Silver 6000 - PPO

Medica

Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
Medica Individual Choice Bronze HSA - EPO
Medica Individual Choice Bronze Share - EPO
Medica Individual Choice Bronze Share - HMO
Medica Individual Choice Expanded Bronze Standard - EPO
Medica Individual Choice Expanded Bronze Standard - HMO
Medica Individual Choice Gold $0 Copay PCP Visits - EPO
Medica Individual Choice Gold $0 Copay PCP Visits - HMO
Medica Individual Choice Gold Share - EPO
Medica Individual Choice Gold Share - HMO
Medica Individual Choice Gold Standard - EPO
Medica Individual Choice Gold Standard - HMO
Medica Individual Choice Silver $0 Copay PCP Visits - EPO
Medica Individual Choice Silver $0 Copay PCP Visits - HMO
Medica Individual Choice Silver Share - EPO
Medica Individual Choice Silver Share - HMO
Medica Individual Choice Silver Standard - EPO
Medica Individual Choice Silver Standard - HMO
Medica Insure Bronze $0 Copay PCP Visits - EPO
Medica Insure Bronze Premier - EPO

Mountain Health CO-OP

Peak PPO Bronze HDHP - PPO
Peak PPO Bronze Standard - PPO
Peak PPO Catastrophic - PPO
Peak PPO Gold - PPO
Peak PPO Gold Standard - PPO
Peak PPO Silver - PPO
Peak PPO Silver Standard - PPO
Plus Bronze - PPO
Plus Bronze Standard - PPO
Plus Gold - PPO
Plus Gold Standard - PPO
Plus Silver Standard - PPO
PEAK PPO BRONZE - PPO
PEAK PPO BRONZE HDHP - PPO
PEAK PPO GOLD - PPO
PEAK PPO GOLD HDHP - PPO
PEAK PPO SILVER - PPO
PEAK PPO SILVER HDHP - PPO
Plus Bronze HDHP - PPO
Plus Gold HDHP - PPO

Providence Health Plan

HSA Qualified 7500 Bronze - Choice Network - EPO
HSA-E Qualified 7500 Bronze - Signature Network - EPO
Providence Oregon Standard Bronze Plan - Choice Network - EPO
Providence Oregon Standard Bronze Plan - Signature Network - EPO
Providence Oregon Standard Gold Plan - Choice Network - EPO
Providence Oregon Standard Gold Plan - Signature Network - EPO
Providence Oregon Standard Silver Plan - Choice Network - EPO
Providence Oregon Standard Silver Plan - Signature Network - EPO

Sanford Health Plan

Sanford Individual TRUE $1,750 - HMO
Sanford Individual TRUE $10,600 - HMO
Sanford Individual TRUE $3,500 - HMO
Sanford Individual TRUE $4,750 - HMO
Sanford Individual TRUE $6,500 - HMO
Sanford Individual TRUE $7,200 HSA Qualified - HMO
Sanford Individual TRUE Standardized $2,000 - HMO
Sanford Individual TRUE Standardized $6,000 - HMO
Sanford Individual TRUE Standardized $7,500 - HMO

Security Health Plan

Enrich $2,000 - 25% - HMO
Enrich $3,500 - 30% - HMO
Enrich $4,000 - 50% - HMO
Enrich $5,000 HDHP - HMO
Enrich $6,000 - 40% - HMO
Enrich $7,500 - HMO
Enrich $7,500 HDHP - HMO
Enrich $9,500 - HMO
Enrich Protection - HMO
Premier $2,000 - 25% - HMO
Premier $3,500 - 30% - HMO
Premier $4,000 - 50% - HMO
Premier $5,000 HDHP - HMO
Premier $6,000 - 40% - HMO
Premier $7,500 - HMO
Premier $7,500 HDHP - HMO
Select $2,000 - 25% - EPO
Select $3,500 - 30% - EPO
Select $4,000 - 50% - EPO
Select $5,000 HDHP - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Adam Gorra is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730260803, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 6

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 4 + 6 + 0 + 8 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3

This NPI is valid

The calculated check digit is 3, which matches the last digit of 1730260803.