NPIMap

Individual provider Active NPI

Dibyajiban Mahapatra, M.D.

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1639163769
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20939 Issued in AL
Practice address
185 Whitesport Dr SW
Suite - 7
Huntsville, AL 35801-6486
Phone
(256) 883-6966
Fax
(256) 883-6432
NPI assigned
Sep 5, 2005
Last updated
Sep 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20939 AL Primary

Addresses

Primary practice location

185 Whitesport Dr SW
Suite - 7
Huntsville, AL 35801-6486

Mailing address

185 Whitesport Dr SW
Suite - 7
Huntsville, AL 35801-6486
Phone (256) 883-6966

Other identifiers 2

IdentifierTypeStateIssuer
051507491OtherALBCBS OF ALABAMA
051507491MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000650 AL Practitioner - Internal Medicine 3375435175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

185 Whitesport Dr SW
Suite 7
Huntsville, AL 35801-6487
Phone (256) 883-6966

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as apm
Quality
90.9
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20939ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dibyajiban Mahapatra,M.D.,P.C. Internal Medicine CurrentSince May 1, 2002 Accepting new patients

Locations

185 Whitesport Dr SW
Ste 7
Huntsville, AL 35801
Phone (256) 883-6966

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGDCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGDCDD/Endpoint/EGDCDD

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1125878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1639163769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW",
            "address_2": "SUITE - 7",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016486",
            "telephone_number": "256-883-6966",
            "fax_number": "256-883-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW",
            "address_2": "SUITE - 7",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016486",
            "telephone_number": "256-883-6966",
            "fax_number": "256-883-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAPATRA",
        "first_name": "DIBYAJIBAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-05",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "20939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "051507491",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051507491",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.