Avera St Luke'S
NPI 1649221664 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Aberdeen, SD
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Avera St Luke'S is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Aberdeen, SD (NPI 1649221664).
Provider details
- NPI number
- 1649221664
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Jacobson, Chief Executive Officer(605) 622-5125
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2022-08-18
- Certified
- 2022-08-18
Frequently asked questions
- What is Avera St Luke'S's NPI number?
- Avera St Luke'S's National Provider Identifier (NPI) is 1649221664, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avera St Luke'S?
- Avera St Luke'S is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Avera St Luke'S located?
- Avera St Luke'S's practice location on file with NPPES is 305 S State St, Aberdeen, SD 57401-4527.
- What is Avera St Luke'S's phone number?
- The practice phone number listed in the NPPES registry for Avera St Luke'S is (605) 622-5000.
- Does Avera St Luke'S accept Medicare?
- Avera St Luke'S is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Avera St Luke'S?
- The authorized official listed on Avera St Luke'S's NPPES record is Ronald Jacobson, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avera St Luke'S's NPI active?
- Yes — Avera St Luke'S's NPI (1649221664) is active in the NPPES registry as of the last update on 2022-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.