SELBY MEDICAL CLINIC
NPI 1093335333
Clinic/Center - Rural Health in Selby, SD
About Selby Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SELBY MEDICAL CLINIC (NPI 1093335333) is a healthcare organization registered as a rural health in Selby, South Dakota and active in the NPI registry since April 2020. The organization holds 2 active CLIA laboratory certificates and lists John Joseph Ayoub, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Selby Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Selby Medical Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 25Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 43D2183203
Selby Medical Clinic · Selby, SDCertificate of Compliance 43D0407818
Mobridge Regional Hospital · Mobridge, SDFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mobridge Regional Hospital's NPI number?
The NPI number for Mobridge Regional Hospital is 1093335333. It was assigned to this organization in the NPPES registry on April 16, 2020. The provider is doing business as Selby Medical Clinic.
Where is Mobridge Regional Hospital located?
Mobridge Regional Hospital is located at 4401 Main St, Selby, SD 57472. The listed phone number is (605) 649-9999.
What is Mobridge Regional Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Mobridge Regional Hospital enrolled in Medicare?
Yes. Mobridge Regional Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mobridge Regional Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 8 Medicare specialties reassign their Medicare billing to Mobridge Regional Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Family Practice (6) and General Surgery (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mobridge Regional Hospital hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Mobridge Regional Hospital accept?
Health plans from Avera Health Plans and Sanford Health Plan list Mobridge Regional Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mobridge Regional Hospital was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Selby Medical Clinic · NPI 1093335333
Rural Health organization in Selby, South Dakota. Organization record, active in the CMS NPPES registry since April 16, 2020.
## Identity
- **NPI:** 1093335333 (Entity type: Organization)
- **Enumerated:** April 16, 2020
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Mobridge Regional Hospital
- **Organization subpart:** Yes (part of Mobridge Regional Hospital)
- **Authorized official:** John Ayoub, CEO
## Practice location
- **Address:** 4401 MAIN ST, Selby, SD 57472-2010
- **Phone:** (605) 649-9999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Family Practice (6), General Surgery (3); [full list](https://npiprofile.com/npi/1093335333/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2021
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093335333) · Data from the CMS NPPES public registry.