Individual provider Active NPI

Manzy Byrd, D.O.,M.S

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1093393035
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036173704 Issued in IL
Practice address
4170 City Ave
Philadelphia, PA 19131-1610
Phone
(215) 871-6100
NPI assigned
Mar 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 036173704 IL Primary
Emergency Medicine Physician 207P00000X 319934 NY

Addresses

Primary practice location

4170 City Ave
Philadelphia, PA 19131-1610

Mailing address

4170 City Ave
Philadelphia, PA 19131-1610
Phone (215) 871-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY2 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
I20250520003874 IL Practitioner - Emergency Medicine 4789102989 Reassigns benefits to 5 organizations
I20250807002733 NY Practitioner - Emergency Medicine 4789102989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia Col of Osteo Med, Sewanee, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buffalo Emergency Associates LLPGroup PAC ID 4981502515, 54 clinicians
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians
Ira Davenport Memorial Hospital, Inc.Group PAC ID 6406743459, 28 clinicians
Integritas Emergency Physician Services LLCGroup PAC ID 7113167446, 41 clinicians

Practice addresses (Care Compare)

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000

600 Roe Ave
Elmira, NY 14905-1629
Phone 60773741004118

7571 State Route 54
Bath, NY 14810-9504
Phone (607) 776-8500

8 Doctors Pkwy
Mount Vernon, IL 62864-6224
Phone (618) 244-5500

Hospital & facility affiliations

  • Ira Davenport Memorial Hospital Hospital, Bath, NY, CCN 330800
  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
  • Marshall Browning Hospital Hospital, Du Quoin, IL, CCN 141331
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Statera Health Care, LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Arnot Ogden Medical Center CurrentSince Aug 4, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 1, 2025 Accepting new patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Aug 4, 2025 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Arnot Ogden Medical Center CurrentSince Aug 4, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 1, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 1, 2025 Accepting new patients
Ira Davenport Memorial Hospital, Inc. Current Accepting new patients
Carle Health Care Incorporated Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Arnot Medical Services PLLC Emergency Medicine Past Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

600 Ivy St
Ste 206
Elmira, NY 14905
Phone (607) 271-2050

Interoperability endpoints

  • Direct secure messaging: mbyrd21635@direct.xtensys.com
  • Direct secure messaging: mbyrddo444369@carlehiedirect.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1093393035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311610",
            "telephone_number": "215-871-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311610",
            "telephone_number": "215-871-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "MANZY",
        "name_prefix": "Dr.",
        "credential": "D.O.,M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036173704",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "319934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.