NPIMap

Organization Active NPI

Avera St. Lukes

Doing business as Avera Medical Group Nephrology Aberdeen

  • Nephrology Physician
  • Aberdeen, SD
National Provider Identifier
1477594430
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
AVERA ST. LUKES
Doing business as
Avera Medical Group Nephrology Aberdeen
Avera Nephrology Aberdeen
Practice address
201 S Lloyd St Ste E206
Aberdeen, SD 57401-4509
Phone
(605) 622-2895
Fax
(605) 622-2896
NPI assigned
Jun 9, 2006
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

201 S Lloyd St Ste E206
Aberdeen, SD 57401-4509

Mailing address

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

Other names 2

  • Avera Medical Group Nephrology Aberdeen Doing business as
  • Avera Nephrology Aberdeen Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments

Enrollment records 2

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
O20230213000882 TX Part B Supplier - Clinic/Group Practice 6406764927 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tyler, TX; Plano, TX; Pearland, TX; Friendswood, TX; Coppell, TX

Other NPIs on the same Medicare enrollment 39

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

View all 39

National Provider Directory

National Provider Directory
Tax ID family
Bowdle Hospital25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

201 S Lloyd St
#E201B
Aberdeen, SD 57401
Phone (605) 622-2898

201 S Lloyd St
#E203
Aberdeen, SD 57401
Phone (605) 622-4050

201 S Lloyd St
Ste 202
Aberdeen, SD 57401

201 S Lloyd St
Ste 270
Aberdeen, SD 57401
Phone (605) 225-4070

201 S Lloyd St
Ste E102
Aberdeen, SD 57401
Phone (605) 225-4070

201 S Lloyd St
Ste E104
Aberdeen, SD 57401
Phone (605) 622-5458

201 S Lloyd St
Ste E105
Aberdeen, SD 57401
Phone (605) 225-1420

201 S Lloyd St
Ste E201A
Aberdeen, SD 57401
Phone (605) 622-2895

2105 6th Ave SE
Ste 24
Aberdeen, SD 57401
Phone (605) 225-6344

3015 6th Ave SE
Ste 11
Aberdeen, SD 57401
Phone (605) 622-2898

305 S State St
Ste 113
Aberdeen, SD 57401
Phone (605) 225-0378

310 S Pennsylvania St
Ste 106
Aberdeen, SD 57401
Phone (605) 622-5613

815 1st Ave SE
Ste 201
Aberdeen, SD 57401
Phone (605) 622-5123

815 S 1st St
Aberdeen, SD 57401
Phone (605) 622-2535

501 Bloemendaal Dr
Ipwsich, SD 57451
Phone (605) 426-6458

318 W 5th St
#A
Miller, SD 57362
Phone (605) 853-0343

401 E Highway 12
#2
Webster, SD 57274
Phone (605) 345-2222

Practitioners & affiliated clinicians

Practitioners 266

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 266

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1477594430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-4933",
            "fax_number": "605-504-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LLOYD ST STE E206",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014509",
            "telephone_number": "605-622-2895",
            "fax_number": "605-622-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA ST. LUKES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "BJERKNES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-622-5125"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Medical Group Nephrology Aberdeen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Nephrology Aberdeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.