Dibbendu Mahanayak, M.D.
Individual provider Active NPI Hospitalist Physician · Melbourne, FL
NPI 1194950071 · NPPES record last updated Jan 31, 2025
Key facts
- NPI
- 1194950071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 25029 (WV)
- Practice address
- 1350 Hickory St
Melbourne, FL 32901-3224 - Phone
- (321) 434-1771
- Fax
- (321) 434-1775
- NPI assigned
- May 21, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Marys Hospitalist Services LLC
Comanche County Healthcare Corporation
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121102000410 | WV | Practitioner - Family Practice |
2365693173 | Reassigns benefits to 5 organizations |
| I20220610000646 | OK | Practitioner - Internal Medicine | 2365693173 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME128441 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Medical Group, Inc. | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia-Wheeling, PLLC | Current |
Accepting new patients | |
| St Mary'S Hospitalist Services, LLC | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia- TCG PLLC | Current |
Accepting new patients | |
| Comanche County Healthcare Corporation | Current |
Accepting new patients | |
| M Medical Group, Inc. | Current |
Accepting new patients | |
| Comanche County Healthcare Corporation | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia, PLLC | Current |
Accepting new patients | |
| THS Physician Partners Inc | Current |
Accepting new patients | |
| Select Specialty Hospital - Charleston Inc | Past | Accepting new patients | |
| Cornerstone Hospital of Huntington, LLC | Past | Accepting new patients | |
| St. Mary'S Himg, LLC | Past | Accepting new patients | |
| Huntington SNF Operations LLC | 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
Fl 2W
Charleston, WV 25301
Phone (304) 347-6116
333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116
2900 1st Ave
#2E
Huntington, WV 25702
Phone (304) 399-2600
700 Madison Ave
Huntington, WV 25704
Phone (304) 522-0032
3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004
2900 1st Ave
Rm 1025
Huntington, WV 25702
Phone (304) 399-7484
2900 1st Ave
#Two
Huntington, WV 25702
Phone (304) 399-2600
1720 17th St
Huntington, WV 25701
Phone (304) 529-6031
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME128441 | FL | |
| Hospitalist Physician | 208M00000X | 25029 | WV | Yes |
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
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9106
Other practice location 2
333 Laidley St
Charleston, WV 25301-1614
Phone (304) 347-6116
Other practice location 3
2900 1st Ave.
Two East
Huntington, WV 25702-1241
Phone (304) 399-2600
Other practice location 4
2900 1st Ave Rm 1025
Huntington, WV 25702-1241
Phone (304) 399-7484
Other providers in Melbourne, FL
- Kimberly Maffeo
- Thomas H Magee
- Joseph Maggard
- Alba Magriz-Marrero
- Debra Lyn Magrone
- Caroline M Mahar
- Vedatta Maharaj
- Maheem Enterprise LLC
- Maheem Enterprise LLC
- Ashish Mahindra
All providers in Melbourne, FL · Hospitalist Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.