AVERA MEDICAL GROUP IPSWICH
NPI 1558624668
Family Medicine in Ipswich, SD
About Avera Medical Group Ipswich NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MEDICAL GROUP IPSWICH (NPI 1558624668) is a healthcare organization registered as a family medicine in Ipswich, South Dakota and active in the NPI registry since June 2012. The organization lists Todd Forkel, President And Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avera Medical Group Ipswich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
258Medicare enrollment records show 258 clinicians reassign Medicare billing to Avera Medical Group Ipswich, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 28
Nearest to this location (20)
See all 258Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Avera St. Luke's's NPI number?
The NPI number for Avera St. Luke's is 1558624668. It was assigned to this organization in the NPPES registry on June 22, 2012. The provider is doing business as Avera Medical Group Ipswich.
Where is Avera St. Luke's located?
Avera St. Luke's is located at 501 Bloemendaal Drive, Ipswich, SD 57451. The listed phone number is (605) 622-2857.
What is Avera St. Luke's's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Avera St. Luke's enrolled in Medicare?
Yes. Avera St. Luke's is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avera St. Luke's?
According to the CMS Revalidation Reassignment List (October 2026 release), 258 clinicians in 28 Medicare specialties reassign their Medicare billing to Avera St. Luke's. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (32), Internal Medicine (31) and Anesthesiology (27). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Avera St. Luke's was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Avera Medical Group Ipswich · NPI 1558624668
Family Medicine organization in Ipswich, South Dakota. Organization record, active in the CMS NPPES registry since June 22, 2012.
## Identity
- **NPI:** 1558624668 (Entity type: Organization)
- **Enumerated:** June 22, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Avera St. Luke's
- **Organization subpart:** No
- **Authorized official:** Todd Forkel, PRESIDENT AND CEO
## Practice location
- **Address:** 501 BLOEMENDAAL DRIVE, Ipswich, SD 57451
- **Phone:** (605) 622-2857 · **Fax:** (605) 622-2859
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 258 clinicians in 28 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Internal Medicine (31), Anesthesiology (27); [full list](https://npiprofile.com/npi/1558624668/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2012
- **Other identifiers:** Medicare PIN S101808 (SD)
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Source: [NPI Profile](https://npiprofile.com/npi/1558624668) · Data from the CMS NPPES public registry.