Sheldon Malcolm, DO
NPI 1104054261 · Family Medicine Physician · Providence, RI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sheldon Malcolm, DO is a Family Medicine Physician provider in Providence, RI (NPI 1104054261).
Provider details
- NPI number
- 1104054261
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 254236 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
43 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument82962 | 22 | $3 |
| Hemoglobin A1c Level83036 | 21 | $10 |
Typical Medicare-allowed amounts for these services range $3–$10 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 90 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 329 | 98 |
| Metformin Hcl | 281 | 74 |
| Lisinopril | 276 | 74 |
| Losartan Potassium | 269 | 58 |
| Amlodipine Besylate | 259 | 76 |
| Omeprazole | 259 | 62 |
| Gabapentin |
Practice location
Mailing address
Additional practice locations (1)
- 300a Faunce Corner RoadNorth Dartmouth, MA 02747Phone: (508) 995-6381Fax: (508) 995-6389
Registry dates
- Enumerated
- 2009-06-29
- Last updated
- 2019-05-07
Frequently asked questions
- What is Sheldon Malcolm's NPI number?
- Sheldon Malcolm's National Provider Identifier (NPI) is 1104054261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sheldon Malcolm's specialty?
- Sheldon Malcolm is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sheldon Malcolm located?
- Sheldon Malcolm's practice location on file with NPPES is 355 Prairie Ave, Providence, RI 02905.
- What is Sheldon Malcolm's phone number?
- The practice phone number listed in the NPPES registry for Sheldon Malcolm is (401) 444-0570.
- Does Sheldon Malcolm accept Medicare?
- Sheldon Malcolm is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sheldon Malcolm's NPI active?
- Yes — Sheldon Malcolm's NPI (1104054261) is active in the NPPES registry as of the last update on 2019-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.