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

Dr. Petio Vladimirov Kotov, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1790731651

Dr. Petio Vladimirov Kotov, MD is a Pathology in Burlington, Vermont. Graduated from Medical College of Wisconsin in 2009, 17 years ago. Practices with Freeport Memorial Hospital, a 140-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Vermont.

Years since qualifying
17
Trained at
Medical College of Wisconsin
Licensed in
MI, VT
In the registry since
2006
Specialties on file
2
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

111 Colchester Ave
Burlington, VT 05401-1473
Phone: (802) 847-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Campus Dr., Hancock, MI 49930-1569 — (906) 483-1000

Specialties & licences

Cytopathology Physician (primary) Taxonomy 207ZC0500X · Licence 042-0015453 (VT)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 4301087243 (MI)

Record details

NPI number1790731651
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2009 (17 years in practice)
Group practice Freeport Memorial Hospital — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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