Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael E Ivy, MD

Individual provider Surgical Critical Care Physician · NPI 1780693630

Dr. Michael E Ivy, MD is a General Surgery in Wallingford, Connecticut. Graduated from University of Connecticut School of Medicine in 1987, 39 years ago. Practices with Gaylord Hospital, Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
39
Trained at
University of Connecticut School of Medicine
Licensed in
CT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

50 Gaylord Farm Rd
Wallingford, CT 06492-2899
Phone: (203) 284-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 035224 (CT)

Record details

NPI number1780693630
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 7, 2006
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address50 Gaylord Farm Rd, Wallingford, CT 06492-2899

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Gaylord Hospital, Inc. — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount