Individual provider Active NPI

Michael A Sergi, MD

  • Vascular Surgery Physician
  • Shelton, CT
National Provider Identifier
1184867723
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
47441 Issued in CT
Practice address
2 Ivy Brook Rd Ste 105
Shelton, CT 06484-6417
Phone
(203) 732-1330
Fax
(203) 732-1332
NPI assigned
Apr 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 47441 CT Primary

Addresses

Primary practice location

2 Ivy Brook Rd Ste 105
Shelton, CT 06484-6417

Mailing address

67 Maple Ave
Derby, CT 06418-1328

Other identifiers 1

IdentifierTypeStateIssuer
1184867723MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090915000453 CT Practitioner - Vascular Surgery 5799831822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
New York Medical College, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

495 Hawley LN
Suite 2a
Stratford, CT 06614-1514

Hospital & facility affiliations

  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028
  • Griffin Hospital Hospital, Derby, CT, CCN 070031

Merit-based Incentive Payment System (MIPS)

Final score
97.63 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal68
Leg revascularization (restoring blood flow)1-10
Removal of tissue11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47441CTMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Connecticut Vascular Center, LLC Vascular Surgery CurrentSince Aug 5, 2009 Accepting new patients

Locations

75 Kings Highway Cutoff
Fairfield, CT 06824
Phone (203) 333-1133

75 Kings Highway Cutoff
Ste 4B
Fairfield, CT 06824

79 Wawecus St
Ste 104
Norwich, CT 06360
Phone (860) 237-5458

495 Hawley Ln
Ste 2A
Stratford, CT 06614
Phone (203) 210-6333

Interoperability endpoints

  • Direct secure messaging: msergi@direct.wtbyhosp.org
  • Direct secure messaging: msergi@vascularexperts.directbygreenway.com
  • Direct secure messaging: michael.sergi.1@32135.direct.athenahealth.com
  • Direct secure messaging: michaela.sergi@xdr.hhchealthdirect.org

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 2

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": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1184867723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MAPLE AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 IVY BROOK RD STE 105",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846417",
            "telephone_number": "203-732-1330",
            "fax_number": "203-732-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGI",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "47441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184867723",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.