SHELDON D. E. MALCOLM (DO) – Family Medicine Physician, NPI 1104054261

SHELDON D. E. MALCOLM (DO) is a healthcare provider. based in North dartmouth, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 254236 (MA). The NPI Number for SHELDON D. E. MALCOLM (DO) is 1104054261

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
SHELDON D. E. MALCOLM (DO)
NPI
1104054261
Phone
(508) 995-6381
Address
300A Faunce Corner Road
Enumeration Date
29 June 2009
Last Update Date
7 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
4014440400
Graduation Year
2009 (17 years ago)
PAC ID
1052553989
Group Practice PAC ID
9335050962
Professional Enrollment ID
I20130806000463
Address ID
RI029055010PR375XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,900 FAMILY PRACTICE in MA

Provider Addresses for SHELDON D. E. MALCOLM (DO)

  • 300A Faunce Corner Road

    North Dartmouth, MA 02747

    Phone: (508) 995-6381

    Fax: (508) 995-6389

    Type: Location

  • 355, Prairie Avenue, Providence, Providence County, Rhode Island, 02905, United States

    PROVIDENCE, RI 02905

    Phone: (401) 444-0570

    Fax: (401) 444-0427

    Type: Location

  • 375, Allens Avenue, Providence, Providence County, Rhode Island, 02905, United States

    PROVIDENCE, RI 029055010

    Phone: (401) 444-0400

    Fax: (401) 444-0468

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160811002541IFamily PracticeRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
82962Blood glucose (sugar) test performed by hand-held instrument2717$0
83036Hemoglobin a1c level2717$0
View full utilization report →

Insurance plans in this area (ZIP 02747)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335050962View full group profile
NameSpecialtyState
Family PracticeMI
Allergy/Immunology, Pediatric MedicineRI
Nurse PractitionerRI
-MT
-RI
-RI
O P T O M E T R YRI
Nurse PractitionerRI
Family PracticeOH
Nurse PractitionerRI

Reviews

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Frequently asked questions

Is SHELDON D. E. MALCOLM (DO) listed with a National Provider Identifier?
Yes — SHELDON D. E. MALCOLM (DO) has NPI 1104054261 on file in the registry.
Is there an active status for SHELDON D. E. MALCOLM (DO)?
For scheduling context, SHELDON D. E. MALCOLM (DO) is shown as active in the registry.
How would a patient describe SHELDON D. E. MALCOLM (DO)'s focus?
For SHELDON D. E. MALCOLM (DO), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SHELDON D. E. MALCOLM (DO)?
Directory geography for SHELDON D. E. MALCOLM (DO) centers on North Dartmouth, Massachusetts.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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