Active NPI
Selina Helen Imboywa, M.D.
- Internal Medicine Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD19343
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-4000
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25514 | NH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | MD19343 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Other practice location 1
1147 NW 64th Ter
Gainesville, FL 32605-4218
Phone (352) 682-8319
Other practice location 2
80 Highland St
Laconia, NH 03246-3235
Phone (603) 524-3211
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | simboywa@crhc.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 432-1500
11 Friendship St
Newport, RI 02840-2209
Phone (401) 846-6400
185 A High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050
185 High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050
19 Friendship St
Newport, RI 02840-2200
295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6439
593 Eddy St
Providence, RI 02903-4923
593 Eddy St Apc
Suite 6
Providence, RI 02903-4923
Phone (401) 793-9172
593 Eddy St George BLDG 1St Floor
Providence, RI 02903-4923
Phone (401) 793-9166
80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819
Hospital & facility affiliations
- Amedisys Hospice Care
- Parkland Medical Center
- Rhode Island Hospital
- Lowell General Hospital
- Concord Hospital- Laconia
- Portsmouth Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25514 | NH | MD | Internal Medicine Physician |
| MD19343 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Hospital Medicine Services of NH, LLC | Current | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| HCA Health Services of New Hampshire Inc | Past | Accepting new patients |
Locations
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
15 La Salle Sq
Providence, RI 02903
593 Eddy St
Providence, RI 02903
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- simboywa@crhc.cernerdirect.com
- selina.imboywa@hca5.eclinicaldirectplus.com
Organizations & group practices 9
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.
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Hospitalist Physician
- Derry, NH
- NPI 1548967607
-
- Family Medicine Physician
- Laconia, NH
- NPI 1053993741
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1649626391
-
- Critical Access Hospital
- Franklin, NH
- NPI 1700960895
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1144770629
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Derry, NH
- NPI 1174570683
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Community Based Hospice Care Agency
- Bedford, NH
- NPI 1710170204
-
- General Acute Care Hospital
- Laconia, NH
- NPI 1053495234
-
- General Acute Care Hospital
- Derry, NH
- NPI 1174570683
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1548898273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LA SALLE SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029031814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-4000"
}
],
"practiceLocations": [
{
"address_1": "1147 NW 64th Ter",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326054218",
"country_code": "US",
"telephone_number": "352-682-8319",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Highland St",
"address_purpose": "LOCATION",
"city": "Laconia",
"state": "NH",
"postal_code": "032463235",
"country_code": "US",
"telephone_number": "603-524-3211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMBOYWA",
"first_name": "SELINA",
"middle_name": "HELEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "25514",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD19343",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "simboywa@crhc.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Concord hospital direct email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "80 Highland St",
"city": "Laconia",
"state": "NH",
"country_code": "US",
"postal_code": "032463235",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.