SHELDON D. E. MALCOLM DO
NPI 1104054261
Family Medicine in Providence, RI
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sheldon D. E. Malcolm Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Sheldon Malcolm reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Providence, RI 02905
- Reassigned Medicare billing, Rhode Island enrollment
- 112 clinicians in this Medicare group
North Providence, RI 02904
- Reassigned Medicare billing, Rhode Island enrollment
- 13 clinicians in this Medicare group
North Providence, RI 02904
- Reassigned Medicare billing, Rhode Island enrollment
- 12 clinicians in this Medicare group
West Greenwich, RI 02817
- Reassigned Medicare billing, Rhode Island enrollment
- 13 clinicians in this Medicare group
West Greenwich, RI 02817
- Reassigned Medicare billing, Rhode Island enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
PROVIDENCE, RI 02905
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Sheldon Malcolm located?
Sheldon Malcolm practices at 355 Prairie Ave, Providence, RI 02905. The listed phone number is (401) 444-0570.
What is Sheldon Malcolm's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sheldon Malcolm enrolled in Medicare?
Yes. Sheldon Malcolm is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sheldon Malcolm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheldon Malcolm reassigns Medicare benefits to 5 organizations: The Providence Community Health Centers, Inc (Providence, RI), North Providence Urgent Care (North Providence, RI), North Providence Primary Care Assoc Inc (North Providence, RI), Center Of New England Primary Care Inc (West Greenwich, RI) and Center Of New England Urgent Care Inc (West Greenwich, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheldon Malcolm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Sheldon D. E. Malcolm, DO · NPI 1104054261
Family Medicine physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since June 29, 2009.
## Identity
- **NPI:** 1104054261 (Entity type: Individual)
- **Enumerated:** June 29, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DO00835 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 355 PRAIRIE AVE, Providence, RI 02905
- **Phone:** (401) 444-0570 · **Fax:** (401) 444-0427
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): The Providence Community Health Centers, Inc (NPI 1053313593, Providence, RI); North Providence Urgent Care (NPI 1528221470, North Providence, RI); North Providence Primary Care Assoc Inc (NPI 1902886757, North Providence, RI); Center Of New England Primary Care Inc (NPI 1699025650, West Greenwich, RI); Center Of New England Urgent Care Inc (NPI 1417207580, West Greenwich, RI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104054261) · Data from the CMS NPPES public registry.