DR. VADIM DIVILOV MD
NPI 1841678422
Internal Medicine - Pulmonary Disease in Albany, NY

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment
5 PALISADES DR STE 100, ALBANY, NY 12205(518) 438-4496 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 1, 2024, Apr 8, 2019 (2 updates tracked since 2019).

About Dr. Vadim Divilov Md NPPES

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

DR. VADIM DIVILOV MD (NPI 1841678422) is an individual pulmonary disease provider in Albany, New York, licensed in New York (294602) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1841678422
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. VADIM DIVILOVCredential: MD
Location Address5 PALISADES DR STE 100Albany, NY 12205-6433
Mailing AddressPo Box 14890Albany, NY 12212-4890
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 14, 2015
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
NPI 1841678422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 294602
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

5 PALISADES DR STE 100, Albany, NY 12205

Secondary Practice Location 1

Location 12 New Hampshire AveTroy, NY 12180-1764 · Phone (518) 272-0331

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Vadim Divilov Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759630577
PECOS Enrollment IDI20180827003534
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
59 services28 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12205 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$63.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
5 PALISADES DR STE 100
ALBANY, NY 12205
Physician Assistant (Medical)
5 PALISADES DR STE 100
ALBANY, NY 12205
Physician Assistant
5 PALISADES DR STE 100
ALBANY, NY 12205
Physician Assistant
5 PALISADES DR STE 100
ALBANY, NY 12205
Physician Assistant
5 PALISADES DR STE 100
ALBANY, NY 12205
Nurse Practitioner (Family)
5 PALISADES DR STE 100
ALBANY, NY 12205
Internal Medicine (Critical Care Medicine)
5 PALISADES DR STE 100
ALBANY, NY 12205
Physician Assistant
5 PALISADES DR STE 100
ALBANY, NY 12205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841678422, enumerated as an "individual" on May 14, 2015.

The provider is located at 5 PALISADES DR STE 100 ALBANY, NY 12205 and the phone number is (518) 438-4496.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

Vadim Divilov is affiliated with: ST PETER'S HOSPITAL and SAMARITAN HOSPITAL OF TROY, NEW YORK.