Active NPI
David Supeck, DO, PHD
- Diagnostic Radiology Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 16837
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Banner-University Medical Group | Current | Accepting new patients | |
| Sanford Medical Center | Current | Accepting new patients | |
| Sanford Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Banner-University Medical Group | Current | Accepting new patients | |
| Sanford Medical Center | Current | Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | 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.
-
- Psychologist
- Sioux Falls, SD
- NPI 1396764254
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1093090342
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology
-
- Nephrology Physician
- Sioux Falls, SD
- NPI 1295848521
-
- Rural Health Clinic/Center
- Estelline, SD
- NPI 1548230683
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1639842677
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1699520049
-
- Diagnostic Radiology Physician
- Fargo, ND
- NPI 1306641345
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aberdeen, SD
- NPI 1235406455
-
- General Acute Care Hospital
- Aberdeen, SD
- NPI 1639423957
-
- Critical Access Hospital
- Vermillion, SD
- NPI 1790721280
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1821017880
-
- Critical Access Hospital
- Ortonville, MN
- NPI 1790783587
-
- Rural Acute Care Hospital
- Worthington, MN
- NPI 1396712618
-
- Rural Acute Care Hospital
- Worthington, MN
- NPI 1679859912
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.