Individual provider Active NPI

Dibbendu Mahanayak, M.D.

  • Hospitalist Physician
  • Melbourne, FL
National Provider Identifier
1194950071
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25029 Issued in WV
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121102000410 WV Practitioner - Family PracticePractitioner - Internal Medicine 2365693173 Reassigns benefits to 5 organizations
I20220610000646 OK Practitioner - Internal Medicine 2365693173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Hospitalist Services LLCGroup PAC ID 2062552763, 45 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Comanche County Healthcare Corporation CurrentSince Dec 12, 2024 Accepting new patients
Comanche County Healthcare Corporation CurrentSince Dec 12, 2024 Accepting new patients
Hospitalist Medicine Physicians of West Virginia- TCG PLLC CurrentSince Feb 12, 2022 Accepting new patients
M Medical Group, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of West Virginia-Wheeling, PLLC CurrentSince Dec 14, 2019 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
M Medical Group, Inc. CurrentSince Nov 1, 2024 Accepting new patients
THS Physician Partners Inc Family Medicine CurrentSince Aug 2, 2017 Accepting new patients
St Mary's Hospitalist Services, LLC CurrentSince Mar 1, 2025 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.

View all 13

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.