NPIMap

Individual provider Active NPI

Cyril Bobby Mazhuvanchery, DO

  • Gastroenterology Physician
  • Charlotte, NC
National Provider Identifier
1457843757
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2025-00807 Issued in NC
Practice address
300 Billingsley Rd Ste 200
Charlotte, NC 28211-1180
Phone
(704) 372-7974
Fax
(704) 372-8201
NPI assigned
Jun 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2025-00807 NC
Gastroenterology Physician 207RG0100X 2025-00807 NC Primary

Addresses

Primary practice location

300 Billingsley Rd Ste 200
Charlotte, NC 28211-1180

Mailing address

3426 Toringdon Way Ste 108
Charlotte, NC 28277-3497
Phone (704) 372-7974

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
I20250818000828 NC Practitioner - Internal MedicinePractitioner - Gastroenterology 3173871308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

300 Billingsley Rd
Suite 200
Charlotte, NC 28211-1180
Phone (704) 372-7974

6604 Roberta Rd
Harrisburg, NC 28075-9532
Phone (419) 221-6717

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Upper gastrointestinal (GI) endoscopy for acid reflux37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-00807NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Digestive Health Associates, PA Gastroenterology CurrentSince Aug 18, 2025 Accepting new patients
Carolina Digestive Health Associates, PA PastSince Oct 29, 2023 Accepting new patients

Locations

3426 Toringdon Way
Ste 108
Charlotte, NC 28277

8210 University Exec Park Dr
Ste 100
Charlotte, NC 28262
Phone (704) 547-8818

300 Billingsley Rd
Ste 200
Charlotte, NC 28211
Phone (704) 372-3350

Interoperability endpoints

  • Direct secure messaging: cmazhuvanchery3024218@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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 11

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1457843757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 TORINGDON WAY STE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773497",
            "telephone_number": "704-372-7974",
            "fax_number": "704-970-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BILLINGSLEY RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111180",
            "telephone_number": "704-372-7974",
            "fax_number": "704-372-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZHUVANCHERY",
        "first_name": "CYRIL",
        "middle_name": "BOBBY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2025-00807",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2025-00807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.