JULIANNE ALICE IVY MD
NPI 1073173597
Pediatrics in Hartford, CT

Q: What is Julianne Ivy's NPI number?

The NPI number for Julianne Ivy is 1073173597. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Q: What is Julianne Ivy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Julianne Ivy was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2019PECOS Enrolled

76 NEW BRITAIN AVE, HARTFORD, CT 06106(860) 545-9300(860) 343-7379 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, Sep 27, 2022, Jun 17, 2019 (3 updates tracked since 2019).

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About Julianne Alice Ivy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIANNE ALICE IVY MD (NPI 1073173597) is an individual pediatrics provider in Hartford, Connecticut, licensed in Connecticut (85390) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073173597

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJULIANNE ALICE IVYCredential: MD

Location Address76 NEW BRITAIN AVEHartford, CT 06106-3305

Mailing Address19 Grand StMiddletown, CT 06457-2705 · (860) 347-6971 · Fax (860) 343-7379

Phone(860) 545-9300

Fax(860) 343-7379

Sole ProprietorYes

Enumeration DateJune 17, 2019

Last NPPES UpdateJune 4, 20263 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1073173597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CT · 85390✔ Licensed in MO · 2019018901

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

76 NEW BRITAIN AVE, Hartford, CT 06106

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Secondary Practice Locations 2

Location 11 Childrens Pl Ste 3S34Saint Louis, MO 63110-1081 · Phone (314) 454-6006

Location 2167 North Main StreetTuba City, AZ 86045 · Phone (928) 283-2679

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julianne Alice Ivy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEXANDRA GIATRELIS MUNRO PSYD

Psychologist (Clinical)