Active NPI
Dibbendu Mahanayak, M.D.
- Hospitalist Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25029
- Practice address
- 1350 Hickory St
Melbourne, FL 32901-3224 - Phone
- (321) 434-1771
- Fax
- (321) 434-1775
- NPI assigned
- May 21, 2009
- Last updated
- Oct 1, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 25029 | WV | Primary |
| Family Medicine Physician | 207Q00000X | 25029 | WV | |
| Hospitalist Physician | 208M00000X | ME128441 | FL |
Addresses
Primary practice location
1350 Hickory St
Melbourne, FL 32901-3224
Mailing address
259 Sundown Ridge
South Charleston, WV 25309-1731
Phone (814) 534-9106
Other practice location 1
800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 388-5432
Other practice location 2
2900 1st Ave.
Two East
Huntington, WV 25702-1241
Phone (304) 399-2600
Other practice location 3
2900 1st Ave Rm 1025
Huntington, WV 25702-1241
Phone (304) 399-7484
Other practice location 4
3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432
Other practice location 5
1400 Hospital Dr
Hurricane, WV 25526-9202
Phone (304) 757-1700
Other practice location 6
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9106
Other practice location 7
333 Laidley St
Charleston, WV 25301-1614
Phone (304) 347-6116
Other practice location 8
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OK
- 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
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 1St Ave
RM 1025
Huntington, WV 25702-1241
Phone (304) 399-7484
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 510-7037
Hospital & facility affiliations
- Memorial Health
- United Hospital Center, Inc
- Cornerstone Specialty Hospitals Huntington, LLC
- Huntington Health and Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 77.19
- Improvement activities
- 40
- Cost
- 63.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia- TCG PLLC | Current | Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia-Wheeling, PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia, PLLC | Family Medicine | Current | Accepting new patients |
| M Medical Group, Inc. | Current | Accepting new patients | |
| THS Physician Partners Inc | Family Medicine | Current | Accepting new patients |
| St Mary's Hospitalist Services, LLC | Current | Accepting new patients | |
| St. Mary's Himg, LLC | Family Medicine | Past | Accepting new patients |
| Huntington SNF Operations LLC | Past | Accepting new patients | |
| Cornerstone Hospital of Huntington, LLC | Past | Accepting new patients | |
| Select Specialty Hospital - Charleston Inc | Past | Accepting new patients |
Locations
L3539
Columbus, OH 43260
Phone (304) 414-4800
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614
333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116
333 Laidley St
Fl 2W
Charleston, WV 25301
Phone (304) 347-6116
1720 17th St
Huntington, WV 25701
Phone (304) 529-6031
2900 1st Ave
#2E
Huntington, WV 25702
Phone (304) 399-2600
2900 1st Ave
#Two
Huntington, WV 25702
Phone (304) 399-2600
2900 1st Ave
Rm 1025
Huntington, WV 25702
Phone (304) 399-7484
3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004
700 Madison Ave
Huntington, WV 25704
Phone (304) 522-0032
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1942432687
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1386122844
-
- Internal Medicine Physician
- Wheeling, WV
- NPI 1649575101
Family Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Clinton, MD
- NPI 1780056168
WV
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1871866806
Family Medicine
-
dba MMG Allergy and Asthma
- Allergy & Immunology Physician
- Lawton, OK
- NPI 1013640846
-
- Internal Medicine Physician
- Wheeling, WV
- NPI 1568940187
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1447076203
-
dba Cornerstone Specialty Hospitals Huntington
- Long Term Care Hospital
- Huntington, WV
- NPI 1548214786
-
dba Huntington Health & Rehab Center
- Skilled Nursing Facility
- Huntington, WV
- NPI 1447900550
-
- Long Term Care Hospital
- Charleston, WV
- NPI 1912905720
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CCMH Ambulance Services
- Land Ambulance
- Walters, OK
- NPI 1285181610
Hospital
-
dba Comanche County Memorial Hospital
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
dba CCMH Ambulance Services
- Land Ambulance
- Lawton, OK
- NPI 1770525883
Hospital
-
dba Cornerstone Specialty Hospitals Huntington
- Long Term Care Hospital
- Huntington, WV
- NPI 1548214786
Long-term care hospital
-
dba Huntington Health & Rehab Center
- Skilled Nursing Facility
- Huntington, WV
- NPI 1447900550
Nursing home
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1194950071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 SUNDOWN RIDGE",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091731",
"telephone_number": "814-534-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "321-434-1771",
"fax_number": "321-434-1775"
}
],
"practiceLocations": [
{
"address_1": "800 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253023351",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 1st Ave.",
"address_2": "Two East",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257021241",
"country_code": "US",
"telephone_number": "304-399-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 1st Ave Rm 1025",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257021241",
"country_code": "US",
"telephone_number": "304-399-7484",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Hurricane",
"state": "WV",
"postal_code": "255269202",
"country_code": "US",
"telephone_number": "304-757-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1086 Franklin St",
"address_purpose": "LOCATION",
"city": "Johnstown",
"state": "PA",
"postal_code": "159054305",
"country_code": "US",
"telephone_number": "814-534-9106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Laidley St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011614",
"country_code": "US",
"telephone_number": "304-347-6116",
"fax_number": "304-347-6117",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Morris St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011326",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHANAYAK",
"first_name": "DIBBENDU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-21",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WV",
"license": "25029",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "25029",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME128441",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.