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

Dmitriy Nikolavsky, MD

Individual provider Surgery Physician · NPI 1144435041

Dmitriy Nikolavsky, MD is an Urology in Syracuse, New York. Graduated from Wayne State University School of Medicine in 2005, 21 years ago. Practices with Upstate Urology, Inc, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Michigan and New York.

Years since qualifying
21
Trained at
Wayne State University School of Medicine
Licensed in
CO, MI, NY
In the registry since
2007
Specialties on file
4
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

750 E Adams St
Syracuse, NY 13210-2342
Phone: (315) 464-6106
Fax: (315) 464-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 265866 (NY)
Surgery Physician Taxonomy 208600000X · Licence 4301086420 (MI)
Urology Physician Taxonomy 208800000X · Licence 49881 (CO)
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Taxonomy 2088F0040X · Licence 265866 (NY)

Record details

NPI number1144435041
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESAugust 27, 2013
Mailing address750 E Adams St, Syracuse, NY 13210-2342

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Upstate Urology, Inc. — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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