DR. MANZY BYRD (D.O.,M.S) – Emergency Medicine Physician, NPI 1093393035

DR. MANZY BYRD (D.O.,M.S) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.,M.S. They hold a License No. 036173704 (IL). The NPI Number for DR. MANZY BYRD (D.O.,M.S) is 1093393035

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANZY BYRD (D.O.,M.S)
NPI
1093393035
Phone
(215) 871-6100
Address
4170 CITY AVE
Enumeration Date
31 March 2021
Last Update Date
18 February 2026

Doctor Profile

Medical School Name
PHILADELPHIA COL OF OSTEO MED, SEWANEE
Secondary Phone
6182445500
Graduation Year
2021 (5 years ago)
PAC ID
4789102989
Group Practice PAC ID
7113167446
Professional Enrollment ID
I20250520003874
Address ID
IL628646224MO8XXXXPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

Provider Addresses for DR. MANZY BYRD (D.O.,M.S)

  • 4170 CITY AVE

    PHILADELPHIA, PA 191311610

    Phone: (215) 871-6100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250520003874IEmergency MedicineILTBD
I20250807002733IEmergency MedicineNYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19131)

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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: 7113167446View full group profile
NameSpecialtyState
Emergency MedicineNY
-IL
Emergency MedicineIL
Emergency Medicine, Internal MedicineFL
-IL
Emergency Medicine, Emergency Medicine, Family PracticeAR
-IL
Emergency Medicine, HospitalistIL
Emergency MedicineGA
Emergency MedicineNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MANZY BYRD (D.O.,M.S)?
DR. MANZY BYRD (D.O.,M.S) — NPI 1093393035 — is the standard way to identify this listing.
Is DR. MANZY BYRD (D.O.,M.S) listed as active for patients and plans?
The listing shows DR. MANZY BYRD (D.O.,M.S) as active in the NPI system.
What healthcare role does DR. MANZY BYRD (D.O.,M.S) hold?
Scheduling teams often label DR. MANZY BYRD (D.O.,M.S) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. MANZY BYRD (D.O.,M.S) serve?
DR. MANZY BYRD (D.O.,M.S)'s listing highlights Philadelphia, Pennsylvania; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.