ABDUL MANNAN (M.D) – Internal Medicine Physician, NPI 1235546102

ABDUL MANNAN (M.D) is a healthcare provider. based in Morgantown, West Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 27705 (WV). The NPI Number for ABDUL MANNAN (M.D) is 1235546102

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
ABDUL MANNAN (M.D)
NPI
1235546102
Phone
(304) 598-4000
Address
1 MEDICAL CENTER DR
Enumeration Date
12 July 2014
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8042852011
Graduation Year
2007 (19 years ago)
PAC ID
0345513693
Group Practice PAC ID
1759611411
Professional Enrollment ID
I20250303000293
Address ID
VA232261907RI5801XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,223 INTERNAL MEDICINE in WV

Provider Addresses for ABDUL MANNAN (M.D)

  • 1 MEDICAL CENTER DR

    MORGANTOWN, WV 265061200

    Phone: (304) 598-4000

    Type: Location

  • 515 W 59th St Apt 28H

    New York, NY 100191042

    Phone: (646) 436-4975

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2023-07-06 • Largest payer in this snapshot: ABIOMED ($142).

Total Amount

$142

General + Research + Ownership

Payments

1

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$142
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170907002354IInternal MedicineWVTBD
I20230201001855IInternal MedicineFLTBD
I20250303000293IInternal MedicineVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8034$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3837$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2323$0
99238Hospital discharge day management, 30 minutes or less1717$0
View full utilization report →

Insurance plans in this area (ZIP 26506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759611411View full group profile
NameSpecialtyState
Cardiac SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep Medicine, Internal MedicineFL
Nurse PractitionerMD
Nurse PractitionerVA
Critical Care (Intensivists)VA
Critical Care (Intensivists)VA
Nurse PractitionerVA
Nurse PractitionerGA
Internal MedicineLA
Internal MedicineNE

Reviews

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Frequently asked questions

What is the registry number for ABDUL MANNAN (M.D)?
The registry entry for ABDUL MANNAN (M.D) shows NPI 1235546102.
Should I treat ABDUL MANNAN (M.D) as an active provider?
Patients and plans typically see ABDUL MANNAN (M.D) as active in the national extract.
What type of care does ABDUL MANNAN (M.D) provide?
ABDUL MANNAN (M.D)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ABDUL MANNAN (M.D) tied to Morgantown, West Virginia?
If you are local to Morgantown, West Virginia, ABDUL MANNAN (M.D) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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