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

Dr. Vadim Divilov, MD

Individual provider Pulmonary Disease Physician · NPI 1841678422

Dr. Vadim Divilov, MD is an Internal Medicine in Albany, New York. Qualified in 2015, 11 years ago. Practices with St Peter's Health Partners Medical Associates, PC, a 480-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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

5 Palisades Dr Ste 100
Albany, NY 12205-6433
Phone: (518) 438-4496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 New Hampshire Ave, Troy, NY 12180-1764 — (518) 272-0331

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 294602 (NY)

Record details

NPI number1841678422
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2015
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing addressPo Box 14890, Albany, NY 12212-4890

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St. Peter'S Health Partners Medical Associates, P.C. — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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