AVERA ST LUKES – NPI #1780004713
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Health Care Provider Taxonomy Code for Radiology

AVERA ST LUKES is a radiologist located in ABERDEEN, SD. NPPES has assigned the NPI number 1780004713 to AVERA ST LUKES on April 17, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was last updated on Apr 30, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA ST LUKES below.

NPI Profile for
AVERA ST LUKES

NPI Number
1780004713
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA ST LUKES
Other name(s)
All associated names:
Doing Business As (dba)
Avera Medical Group Radiation Oncology Aberdeen
Doing Business As (dba)
Avera Radiation Oncology Aberdeen
Primary location
310 S PENN ST STE 105
ABERDEEN, SD 57401-4553
Phone: (605) 622-5500 Fax: (605) 622-5042
1 Other location(s):
415 9th St
Britton, SD 57430-2274
Phone: (605) 622-5500
Fax: (605) 622-5042
Mailing address
PO BOX 86370
SIOUX FALLS, SD 57118-6370
Phone: (605) 322-4933 Fax: (605) 504-9489
Organization Subpart
No
Authorized Official
DANIEL BJERKNES
PRESIDENT/CEO
Phone: (605) 622-5125
Updated
Certification Date
Apr 30, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AVERA ST LUKES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARESDS101808
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)		 SD

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.