Shilpa Malik, M.D.
NPI 1316280142 · Otolaryngology Physician · Stockton, CA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shilpa Malik, M.D. is a Otolaryngology Physician provider in Stockton, CA (NPI 1316280142).
Provider details
- NPI number
- 1316280142
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A178649 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,700 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Test for Allergy Using Allergenic Extract95004 | 384 | $4 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 329 | $168 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 262 | $130 |
| Removal of Impacted Ear Wax69210 | 153 | $47 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 145 | $92 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 135 | 115 |
| Dexamethasone Sodium Phosphate | 113 | 74 |
| Azelastine Hcl | 106 | 88 |
| Pantoprazole Sodium | 72 | 63 |
| Famotidine | 70 | 52 |
| Montelukast Sodium | 58 | 48 |
| Methylprednisolone | 53 | 48 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$219 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-03-29
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Frequently asked questions
- What is Shilpa Malik's NPI number?
- Shilpa Malik's National Provider Identifier (NPI) is 1316280142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shilpa Malik's specialty?
- Shilpa Malik is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Shilpa Malik located?
- Shilpa Malik's practice location on file with NPPES is 2545 W Hammer Ln, Stockton, CA 95209-2839.
- What is Shilpa Malik's phone number?
- The practice phone number listed in the NPPES registry for Shilpa Malik is (209) 943-5185.
- Does Shilpa Malik accept Medicare?
- Shilpa Malik is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shilpa Malik's NPI active?
- Yes — Shilpa Malik's NPI (1316280142) is active in the NPPES registry as of the last update on 2025-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.