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Avera St. Luke'S

Organization Active NPI Family Medicine Physician · Aberdeen, SD

NPI 1013143296 · NPPES record last updated Apr 21, 2026

Key facts

NPI
1013143296
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
10525 (SD)
Legal business name
AVERA ST. LUKE'S
Practice address
105 S State St Ste 113
Aberdeen, SD 57401-4502
Phone
(605) 225-0378
Fax
(605) 225-7919
NPI assigned
Jun 2, 2009
Organization subpart
No

Authorized official

Name
Daniel J Bjerknes
Title
President/Ceo
Phone
(605) 622-5125

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 39

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 39

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 171

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 171

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in SD

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eureka Community Health Services
Eureka, SD · CCN 431308		 Hospital Operational/Managerial Control (25%) Aug 13, 1996
Eureka Community Health Services
Eureka, SD · CCN 43Z308		 Hospital Operational/Managerial Control (25%) Aug 13, 1996
Marhsall County Healthcare Center
Britton, SD · CCN 431312		 Hospital Operational/Managerial Control Apr 11, 2006
Marshall County Healthcare Center
Britton, SD · CCN 43Z312		 Hospital Operational/Managerial Control Apr 11, 2006
Marshall County Healthcare Center
Britton, SD · CCN 433441		 Rural health clinic Operational/Managerial Control Apr 22, 2006

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040120000912 SD Part B Supplier - Clinic/Group Practice 6406764927 Receives reassigned benefits from 271 practitioners
39 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aberdeen, SD; Waubay, SD; Redfield, SD; Mobridge, SD; Groton, SD; Faulkton, SD; Britton, SD
O20110405001116 SD DME Supplier - Physician - Osteopathic Manipulative Medicine 6406764927 Practice locations: Aberdeen, SD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X 10525 SD Yes
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X

Addresses

Primary practice location

105 S State St Ste 113
Aberdeen, SD 57401-4502

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-4933

Other practice location 1

105 S State St Ste 204
Aberdeen, SD 57401-4501
Phone (605) 622-2857

Other identifiers

IdentifierTypeStateIssuer
1451164MedicaidND
1000187MedicaidSD
9278116OtherDAKOTACARE

Other names

  • Avera Aberdeen Family Physicians Doing business as
  • Avera Pediatrics Aberdeen Doing business as

Other providers in Aberdeen, SD

All providers in Aberdeen, SD · Family Medicine Physician in South Dakota

Sources for this page

Verify at the official NPI Registry.