NPIMap

Individual provider Active NPI

Cyrus Koresh Manavi, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Winston Salem, NC
National Provider Identifier
1194905778
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
134034 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone
(336) 716-2255
Fax
(336) 716-7595
NPI assigned
Nov 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 134034 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

PO Box 344
Winston Salem, NC 27102-0344
Phone (336) 716-2255

Other identifiers 1

IdentifierTypeStateIssuer
5914514MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100622000524 NC Practitioner - Pathology 1355472226 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Brody School of Medicine at East Carolina University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Pathology Group PAGroup PAC ID 0547277246, 10 clinicians
Carolina Digestive Diseases PAGroup PAC ID 8820097793, 5 clinicians
Gastroenterology East PAGroup PAC ID 4880799485, 11 clinicians

Practice addresses (Care Compare)

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 433-8043

704 WH Smith Blvd
Greenville, NC 27834-3761
Phone (252) 758-8181

800 Mayo Blvd
Suite 103
Greenville, NC 27834-4170
Phone (252) 565-0193

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
97.02
Promoting interoperability
100
Improvement activities
40
Cost
70.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134034NCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Digestive Diseases and Cary Endoscopy Center, PC CurrentSince Jan 1, 2026 Accepting new patients
Carolina Digestive Diseases, PA CurrentSince Jan 1, 2026 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Oct 7, 2019 Accepting new patients
Atlantic Pathology Group, PA Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2019 Accepting new patients
Carolina Digestive Diseases, PA CurrentSince Jan 1, 2026 Accepting new patients
App-Ecp, LLC CurrentSince Jun 24, 2013 Accepting new patients
Raleigh Medical Group, PA CurrentSince Jan 1, 2026 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

1120 SE Cary Pkwy
Ste 204
Cary, NC 27518
Phone (919) 854-0041

704 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 758-8181

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

2615 Lake Dr
Ste 101
Raleigh, NC 27607
Phone (919) 341-3560

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

2693 Forest Hills Rd SW
Ste B
Wilson, NC 27893
Phone (252) 234-2841

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

5700 Southwyck Blvd
Toledo, OH 43614

103 Continental Pl
Ste 400
Brentwood, TN 37027
Phone (615) 481-8181

658 Grassmere Park
Ste 104
Nashville, TN 37211
Phone (615) 916-3200

Interoperability endpoints

  • Direct secure messaging: cmanavi20582@carolinaeastmc.direct-ci.com

Organizations & group practices 9

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1194905778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271020344",
            "telephone_number": "336-716-2255",
            "fax_number": "336-716-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2255",
            "fax_number": "336-716-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAVI",
        "first_name": "CYRUS",
        "middle_name": "KORESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-12",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "134034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914514",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.