Active NPI
Vadim Krylov, MD
- Pediatrics Physician
- Royal Oak, MI
National Provider Identifier
1891538120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4351052391
- Practice address
- 3601 W. 13 Mile Rd Corewell Health William Beaumont
University Hospital
Royal Oak, MI 48073 - Phone
- (248) 551-3000
- Fax
- (248) 551-2032
- NPI assigned
- Jun 14, 2024
- Last updated
- Dec 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4351052391 | MI | Primary |
Addresses
Primary practice location
3601 W. 13 Mile Rd Corewell Health William Beaumont
University Hospital
Royal Oak, MI 48073
Mailing address
P.O. Box 3601 W. 13 Mile Rd
Corewell Health William Beaumont University Hospital
Royal Oak, MI 48073
Phone (248) 551-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351052391 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1891538120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3601 W. 13 MILE RD",
"address_2": "COREWELL HEALTH WILLIAM BEAUMONT UNIVERSITY HOSPITAL",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-551-3000",
"fax_number": "248-551-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W. 13 MILE RD COREWELL HEALTH WILLIAM BEAUMONT",
"address_2": "UNIVERSITY HOSPITAL",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-551-3000",
"fax_number": "248-551-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRYLOV",
"first_name": "VADIM",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-14",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4351052391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.