AVERA MEDICAL GROUP PODIATRY
NPI 1871771279
Podiatrist in Aberdeen, SD

Active since February 07, 2008
310 S PENN ST STE 203, ABERDEEN, SD 57401(605) 622-2570(605) 622-2571 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2022, Apr 2, 2020, Aug 16, 2018 and 1 more (4 updates tracked since 2017).

About Avera Medical Group Podiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MEDICAL GROUP PODIATRY (NPI 1871771279) is a healthcare organization registered as a podiatrist in Aberdeen, South Dakota and active in the NPI registry since February 2008. The organization lists Daniel J Bjerknes, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1871771279
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameAVERA ST. LUKE'S
Location Address310 S PENN ST STE 203Aberdeen, SD 57401-4553
Mailing AddressPo Box 860674Minneapolis, MN 55486-0001 · (605) 622-2570 · Fax (605) 622-2571
Fax(605) 622-2571
Organization SubpartNo
Authorized OfficialDaniel J BjerknesPresident/ceo · (605) 622-5125
Enumeration DateFebruary 7, 2008
Last NPPES UpdateAugust 18, 20224 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1871771279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in SD · 10525
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
310 S PENN ST STE 203, Aberdeen, SD 57401

Other Names 1

Doing Business AsAvera Medical Group Podiatry

Other Identifiers 2

Medicaid14712ND
Other9255744SD · Dakotacare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Podiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

258

Medicare enrollment records show 258 clinicians reassign Medicare billing to Avera Medical Group Podiatry, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 106 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Nurse Practitioner32
Internal Medicine31
Anesthesiology27
Certified Registered Nurse Anesthetist (CRNA)25
Physical Therapist in Private Practice18
Family Practice15
Orthopedic Surgery13
Pathology12
20 other specialties85

Nearest to this location (20)

See all 258
Obstetrics/Gynecology
NPI 1063596245
310 S PENN ST SUITE 204
Aberdeen, SD 57401
(605) 225-1636
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1851394662
310 S PENN ST SUITE 105
Aberdeen, SD 57401
(605) 622-8700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083354393
310 S PENN ST STE 203
Aberdeen, SD 57401
(605) 225-7326
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093753956
310 S PENN ST SUITE 202
Aberdeen, SD 57401
(605) 622-2895
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1316935638
310 S PENN ST STE 202
Aberdeen, SD 57401
(605) 225-7326
✔ PECOSSame address
General Surgery
NPI 1295990141
310 S PENN ST SUITE 201
Aberdeen, SD 57401
(605) 229-1367
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1295822104
310 S PENN ST STE 203
Aberdeen, SD 57401
(605) 622-5475
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336071828
310 S PENN ST STE 203
Aberdeen, SD 57401
(605) 622-2573
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720376825
310 S PENN ST SUITE 105
Aberdeen, SD 57401
(605) 622-8700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760261465
310 S PENN ST STE 202
Aberdeen, SD 57401
(605) 622-2573
Same address
Nurse Practitioner
NPI 1407746787
310 S PENN ST STE 202
Aberdeen, SD 57401
(605) 622-2573
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1952438996
310 S PENN ST STE 203
Aberdeen, SD 57401
(605) 622-2570
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1639364581
310 S PENN ST STE 203
Aberdeen, SD 57401
(605) 622-2573
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1811085970
310 S PENN ST SUITE 204
Aberdeen, SD 57401
(605) 225-1636
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1245216118
310 S PENN ST
Aberdeen, SD 57401
(605) 229-1367
✔ PECOSSame address
Nurse Practitioner
NPI 1801201439
201 S LLOYD ST STE E201
Aberdeen, SD 57401
(605) 622-2545
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1043378912
310 S PENN ST STE 204
Aberdeen, SD 57401
(605) 225-1636
✔ PECOS✔ Accepts Medicare0.1 mi
Pathology
NPI 1700439197
305 S STATE ST
Aberdeen, SD 57401
(605) 622-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1033408505
305 S STATE ST
Aberdeen, SD 57401
(605) 622-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1366002487
305 S STATE ST
Aberdeen, SD 57401
(605) 622-5000
✔ PECOS✔ Accepts Medicare0.1 mi
See all 258 clinicians

Source: 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 1871771279. It was assigned to this organization in the NPPES registry on February 7, 2008. The provider is doing business as Avera Medical Group Podiatry.

Where is Avera St. Luke's located?

Avera St. Luke's is located at 310 S Penn St Ste 203, Aberdeen, SD 57401. The listed phone number is (605) 622-2570.

What is Avera St. Luke's's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

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). Of these, 15 practice at this address and 106 within 10 miles. 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 August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.