Dr. Dmitrii Koval – Internist / Geriatrician | Mississauga, ON

Dr. Dmitrii Koval is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Mississauga, ON, he serves the surrounding communities. As a licensed physician registered with the College of Physicians and Surgeons of Ontario (CPSO), he adheres to the highest standards of medical practice, ensuring quality and safety for his patients. Dr. Koval offers in-depth care in Internal Medicine and Geriatric Care, aiming to improve health outcomes and quality of life for his adult patients.

He graduated with a Medical Degree from the University of Ottawa in 2012, completing extensive postgraduate medical training in internal medicine and geriatrics. His education included rigorous clinical rotations, specialty certifications, and ongoing professional development to stay current with advancements in his field. This solid foundation enables him to address a wide spectrum of complex medical issues in adult and senior populations.

Dr. Koval’s clinical philosophy centers on warmth, compassion, and community engagement. He is dedicated to building trusting relationships with his patients and their families while providing thorough, personalized care. Fluent in English and Russian, he is able to communicate effectively with diverse patient populations in Mississauga and beyond. His approach emphasizes patient-centered care, respect, and collaborative decision-making to support his patients' health and well-being.

Dr. Koval provides expert care for adults with a wide range of medical conditions, including:

Endocrine & Metabolic Disorders

• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.

Select Infectious & Inflammatory Conditions

• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.

Management of Chronic Diseases

• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
• Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
• Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.

Dr. Koval manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
• Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
• Coordination of Specialist Care: Acting as a central point of contact to help manage and coordinate input from various medical specialists for patients with multi-system diseases.
• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.

Note: This list represents some of the key services offered by Dr. Koval. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Koval's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Koval's practice is conveniently located in the Mississauga City Centre, in the Square One area neighbourhood. The clinic is situated within the Child and Adolescent Psychiatry facility, making it accessible for adult patients seeking comprehensive internal and geriatric care. The location is close to Erin Meadows Community Centre and Credit Valley Hospital, providing easy access for hospital visits and community services. Patients can reach the clinic via MiWay (Mississauga Transit), with nearby bus stops. Parking is available at the facility, and the premises are wheelchair accessible, ensuring ease of access for all patients.

How is payment handled for appointments with Dr. Koval? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Koval are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. Koval. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

Will Dr. Dmitrii Koval replace my family doctor?

No, Dr. Koval acts as a specialist consultant. Your family doctor (or primary care provider) remains responsible for your routine healthcare, ongoing prescriptions (unless specified otherwise by the specialist), and coordinating your overall care. Dr. Koval will communicate findings and recommendations back to your family doctor.

When should someone be referred to an Internist or Geriatrician?

Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases (like advanced Diabetes Mellitus (Type 1 & 2) or Chronic Liver Disease), multiple interacting medical conditions, or unexplained symptoms. For older adults, referrals are common for geriatric syndromes such as falls, memory decline, frailty, or complex medication management (Management of Patients with Multiple Comorbidities). Your family doctor can best determine if a specialist consultation is needed.

What typically happens during a first consultation?

During your initial visit, Dr. Koval will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. He will likely perform a relevant physical examination. Following this assessment, he will discuss Dr. Koval's findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.

Why is reviewing multiple medications (polypharmacy) important?

As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.

Child and Adolescent Psychiatry
100 Queensway West, Oakville Traflgar Memorial Hospital
Mississauga, ON L5B 1B8

Phone: (905) 848-7100

The facility is wheelchair accessible.

Dr. Koval is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Koval-Dmitrii/0281064-97920