SHELDON D. E. MALCOLM DO
NPI 1104054261
Family Medicine in Providence, RI

Q: What is Sheldon Malcolm's NPI number?

The NPI number for Sheldon Malcolm is 1104054261. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Q: What is Sheldon Malcolm's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sheldon Malcolm was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2009PECOS Enrolled

355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0570(401) 444-0427 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sheldon D. E. Malcolm Do NPPES

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

SHELDON D. E. MALCOLM DO (NPI 1104054261) is an individual family medicine provider in Providence, Rhode Island, licensed in Rhode Island (DO00835) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in North Dartmouth.

NPPES Registry Identity

NPI1104054261

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHELDON D. E. MALCOLMCredential: DO

Location Address355 PRAIRIE AVEProvidence, RI 02905

Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400 · Fax (401) 444-0468

Phone(401) 444-0570

Fax(401) 444-0427

Sole ProprietorNo

Enumeration DateJune 29, 2009

Last NPPES UpdateMay 7, 2019

✔ NPI 1104054261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in RI · DO00835✔ Licensed in MA · 254236

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

355 PRAIRIE AVE, Providence, RI 02905

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Secondary Practice Location 1

Location 1300A Faunce Corner RoadNorth Dartmouth, MA 02747 · Phone (508) 995-6381 · Fax (508) 995-6389

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheldon D. E. Malcolm Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

22 services15 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

21 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

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.

SORAYA S. P. DARWOOD MD

Family Medicine