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Individual provider Active NPI

David Charles Starks, MD

  • Gynecologic Oncology Physician
  • Sioux Falls, SD
National Provider Identifier
1871751867
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
8518 Issued in SD
Practice address
1000 E. 23Rd St.
Ste. 350
Sioux Falls, SD 57105-2140
Phone
(605) 322-7535
Fax
(605) 322-7540
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TRAINING OH
Gynecologic Oncology Physician 207VX0201X 8518 SD Primary

Addresses

Primary practice location

1000 E. 23Rd St.
Ste. 350
Sioux Falls, SD 57105-2140

Mailing address

2400 S. Minnesota Ave
Ste 100
Sioux Falls, SD 57105-3762
Phone (605) 322-7510

Other identifiers 1

IdentifierTypeStateIssuer
6201820MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121024000224 SD Practitioner - Gynecological Oncology 8325298581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of Michigan Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1000 E 23Rd St
Suite 350
Sioux Falls, SD 57105-2140
Phone (605) 322-7535

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8518SDMDGynecologic Oncology Physician
TRAININGOHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Sep 4, 2012 Accepting new patients
Avera McKennan Gynecologic Oncology CurrentSince Sep 4, 2012 Accepting new patients
Avera McKennan Current Accepting new patients
Granite Falls Municipal Hospital and Manor Past Accepting new patients

Locations

1417 S Cliff Ave
Ste 401
Sioux Falls, SD 57105
Phone (605) 322-8920

1000 E 23rd St
Ste 350
Sioux Falls, SD 57105
Phone (605) 322-7535

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1871751867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S. MINNESOTA AVE",
            "address_2": "STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053762",
            "telephone_number": "605-322-7510",
            "fax_number": "605-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E. 23RD ST.",
            "address_2": "STE. 350",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052140",
            "telephone_number": "605-322-7535",
            "fax_number": "605-322-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKS",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "TRAINING",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "SD",
            "license": "8518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6201820",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.