OrganizationActive
Avera St. Luke'S
NPI 1558624668 · Family Medicine Physician · Ipswich, SD
Provider details
- NPI number
- 1558624668
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Todd Forkel, President and Ceo(605) 622-5125
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
501 Bloemendaal Drive
Ipswich, SD 57451
Phone: (605) 622-2857
Fax: (605) 622-2859
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1460
Aberdeen, SD 57402-1460
Other names (DBA / former)
- Doing business as
- Avera Medical Group Ipswich
Registry dates
- Enumerated
- 2012-06-22
- Last updated
- 2012-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.