ADAM SHEKA M.D.
NPI 1992192199
Surgery in Saint Paul, MN

Active since April 25, 2015PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 495-6600(952) 883-9677 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2020, Jul 30, 2018 (2 updates tracked since 2018).

About Adam Sheka M.d. NPPES

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

ADAM SHEKA M.D. (NPI 1992192199) is an individual surgery provider in Saint Paul, Minnesota, licensed in Minnesota (61577) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1992192199
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameADAM SHEKACredential: M.D.
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing Address420 Delaware St Se, Mmc 195Minneapolis, MN 55455-0341 · (612) 625-6483
Fax(952) 883-9677
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2015
Enumeration DateApril 25, 2015
Last NPPES UpdateFebruary 20, 20202 updates tracked since enumeration
NPI 1992192199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MN · 61577
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
640 JACKSON ST, Saint Paul, MN 55101

Secondary Practice Location 1

Location 1420 Delaware St SE, MMC 195Minneapolis, MN 55455-0341 · Phone (612) 625-6483

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Adam Sheka M.d. 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 ID6507160389
PECOS Enrollment IDI20180619002102
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services46 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services28 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521337
Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 20

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

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 Sheka's NPI number?

The NPI number for Adam Sheka is 1992192199. It was assigned to this individual provider in the NPPES registry on April 25, 2015.

Where is Adam Sheka located?

Adam Sheka practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 495-6600.

What is Adam Sheka's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Adam Sheka enrolled in Medicare?

Yes. Adam Sheka 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.

What insurance does Adam Sheka accept?

Health plans from HealthPartners and Medica list Adam Sheka 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 Sheka affiliated with any hospitals?

According to CMS data, Adam Sheka is affiliated with Regions Hospital and St Croix Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Sheka was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.