NPIMap

Individual provider Active NPI

Daniel Sempeta, MD

  • Family Medicine Physician
  • Minot, ND
National Provider Identifier
1770155061
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RL17347 Issued in ND
Practice address
1500 21St Ave NW Ste 102
Minot, ND 58703-0867
Phone
(701) 418-4300
NPI assigned
Jul 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RL17347 ND Primary

Addresses

Primary practice location

1500 21St Ave NW Ste 102
Minot, ND 58703-0867

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

1201 11th Ave SW
Minot, ND 58701-4207
Phone (701) 858-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230404000268 TX Practitioner - Family Practice 5294138418 Reassigns benefits to 1 organization
I20241111000165 ND Practitioner - Family Practice 5294138418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

Practice addresses (Care Compare)

1500 21St Ave NW
Suite 102
Minot, ND 58703-0867
Phone (701) 418-4300

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as group
Quality
89.39
Promoting interoperability
100
Improvement activities
40
Cost
76.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RL17347NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Mar 1, 2023 Accepting new patients
Sanford Bismarck Family Medicine CurrentSince Sep 23, 2024 Accepting new patients
Sanford Bismarck CurrentSince Sep 23, 2024 Accepting new patients

Locations

1300 Hospital Loop
Belcourt, ND 58316

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

1500 21st Ave NW
Ste 102
Minot, ND 58703
Phone (701) 418-4300

4100 W 150th St
#3
Cleveland, OH 44135

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1770155061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 21ST AVE NW STE 102",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030867",
            "telephone_number": "701-418-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 11th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014207",
            "country_code": "US",
            "telephone_number": "701-858-6700",
            "fax_number": "701-858-6736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMPETA",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL17347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.