Avera St. Luke'S
Organization Active NPI Anesthesiology Physician · Aberdeen, SD
NPI 1891073003 · NPPES record last updated Apr 30, 2026
Key facts
- NPI
- 1891073003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- AVERA ST. LUKE'S
- Practice address
- 305 S State St
Aberdeen, SD 57401 - Phone
- (605) 622-5000
- Fax
- (605) 622-5127
- NPI assigned
- Jul 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Daniel J Bjerknes
- Title
- President/Ceo
- Phone
- (605) 622-5125
Other NPIs on the same Medicare enrollment 39
Corporate family (same tax ID) 24
Practitioners 6
-
Wilfredo G Veloira Jr., M.D.
-
Adam D Camp, MD
-
Cody Henderson, DO
-
Kevin Oliver, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- St Luke Mid Reg Hospdm
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
305 S State St
Aberdeen, SD 57401
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-4933
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002451 | Medicaid | SD | |
| 1451188 | Medicaid | ND |
Other names
- Avera Anesthesiology Aberdeen
- Avera Medical Group Anesthesiology Aberdeen
Other providers in Aberdeen, SD
- Avera St. Luke'S
- Avera St. Luke'S
- Avera St. Luke'S
- Avera St. Luke'S
- Avera St. Luke'S
- Avera St. Luke'S
- Avera St. Luke'S
- Avera St. Lukes
- Avera St. Lukes
- Avera St. Lukes
All providers in Aberdeen, SD · Anesthesiology Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.