Individual provider Active NPI

David Supeck, DO, PHD

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
National Provider Identifier
1861954372
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16837 Issued in SD
Practice address
1210 W 18TH St Ste LL03
Sioux Falls, SD 57104-4654
Phone
(605) 328-1410
NPI assigned
Apr 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 16837 SD Primary
Diagnostic Radiology Physician 2085R0202X 008761 AZ

Addresses

Primary practice location

1210 W 18TH St Ste LL03
Sioux Falls, SD 57104-4654

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

4502 E 41st St
Tulsa, OK 74135-2536
Phone (918) 619-4400

Other practice location 2

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (800) 465-3203

Other practice location 3

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000

Other practice location 4

1501 N Campbell Ave
Tucson, AZ 85724-5067
Phone (520) 626-7402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240508002037 AZ Practitioner - Diagnostic Radiology 3971921875 Reassigns benefits to 3 organizations
I20250801003762 SD Practitioner - Diagnostic Radiology 3971921875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oklahoma State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

1210 W 18TH St
Suite LL03
Sioux Falls, SD 57104-4654
Phone (605) 328-1410

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2100

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 328-8700

1309 W 17TH St
Suite G01
Sioux Falls, SD 57104-4664
Phone (605) 312-3400

1500 W 22ND St
Sioux Falls, SD 57105-1503

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

5019 S Western Ave
Suite 200
Sioux Falls, SD 57108-5155
Phone (605) 328-9700

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-5635

5920 E Madison St
Sioux Falls, SD 57110-6489
Phone (605) 312-5000

901 4TH St NW
Watertown, SD 57201-1558
Phone (605) 886-8471

922 22ND Ave S
Brookings, SD 57006-2830
Phone (605) 697-1900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group Diagnostic Radiology Current Accepting new patients
Banner-University Medical Group CurrentSince Jul 1, 2024 Accepting new patients
Sanford Medical Center CurrentSince Oct 23, 2025 Accepting new patients
Sanford Clinic Diagnostic Radiology CurrentSince Jul 14, 2025 Accepting new patients
Mayo Clinic Arizona CurrentSince Jul 1, 2024 Accepting new patients
Mayo Clinic Arizona CurrentSince Jul 1, 2024 Accepting new patients
Sanford Clinic CurrentSince Jul 14, 2025 Accepting new patients
Banner-University Medical Group CurrentSince Jul 1, 2024 Accepting new patients
Sanford Medical Center CurrentSince Oct 23, 2025 Accepting new patients
Sanford Clinic Current Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1201 S Alma School Rd
Mesa, AZ 85210
Phone (480) 545-8119

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

2323 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 931-7999

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

13400 E Shea Blvd
Scottsdale, AZ 85259

265 W Ina Rd
Tucson, AZ 85704
Phone (520) 694-8000

1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

707 N Alvernon Way
Ste 201
Tucson, AZ 85711
Phone (520) 694-1725

2800 E Ajo Way
Bldg 200
Tucson, AZ 85713
Phone (520) 874-2000

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1210 W 18th St
Ste LL03
Sioux Falls, SD 57104
Phone (605) 328-1410

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800

Organizations & group practices 11

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 10

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1861954372",
    "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": "1210 W 18TH ST STE LL03",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044654",
            "telephone_number": "605-328-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 E 41st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352536",
            "country_code": "US",
            "telephone_number": "918-619-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 N Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857194330",
            "country_code": "US",
            "telephone_number": "800-465-3203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13400 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595499",
            "country_code": "US",
            "telephone_number": "480-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 N Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857245067",
            "country_code": "US",
            "telephone_number": "520-626-7402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUPECK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SD",
            "license": "16837",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "008761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.