Avera St. Luke's
NPI 1093759177ActiveOrganization· Physical Medicine & Rehabilitation· Aberdeen, SD
Physical Medicine & Rehabilitation in Aberdeen, South Dakota, registered in NPPES in June 2006. The authorized official on file is Tess Moeller, Vp.
Overview
| NPI | 1093759177 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2006 |
| Last updated in NPPES | Jul 15, 2022 |
| Certified by provider | Jul 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | 10525 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other physiatrists in Aberdeen
- 1255337846
- 1316279391