Active NPI
Adam Lokeh, M.D.
- Plastic Surgery Physician
- Minnetonka, MN
National Provider Identifier
1205939618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 40568
- Practice address
- 13911 Ridgedale Dr. #395
Minnetonka, MN 55305 - Phone
- (612) 360-7700
- Fax
- (763) 479-3006
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 40568 | MN | Primary |
Addresses
Primary practice location
13911 Ridgedale Dr. #395
Minnetonka, MN 55305
Mailing address
PO Box 46317
Plymouth, MN 55446
Phone (612) 360-7700
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313640000 | Other | MN | MEDICAL ASSISTANCE |
| 1041377 | Other | MN | PREFERRED ONE |
| 1300164 | Other | MN | MEDICA |
| 826S2LO | Other | MN | BCBS |
| 2175194 | Other | MN | AMERICAS PPO |
| 1041377 | Other | MN | CBSA |
| 313640000 | Medicaid | MN | |
| 69847 | Other | MN | CBSA |
| 7284128 | Other | MN | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Lokeh Plastic Surgery PA | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients |
Locations
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
13911 Ridgedale Dr
Ste 395
Minnetonka, MN 55305
Phone (952) 545-8603
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Minneapolis, MN
- NPI 1932208808
-
- Specialist
- Plymouth, MN
- NPI 1194977447
-
- Adolescent and Children Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1689778912
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1205939618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 46317",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55446",
"telephone_number": "612-360-7700",
"fax_number": "763-479-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13911 RIDGEDALE DR. #395",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55305",
"telephone_number": "612-360-7700",
"fax_number": "763-479-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOKEH",
"first_name": "ADAM",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MN",
"license": "40568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "313640000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1041377",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1300164",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "826S2LO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO",
"identifier": "2175194",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBSA",
"identifier": "1041377",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "313640000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBSA",
"identifier": "69847",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7284128",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.