Individual provider Active NPI

Malini C. Gillen, M.D.

  • Pediatric Adolescent Medicine Physician
  • Cumberland, RI
National Provider Identifier
1023091949
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD10597 Issued in RI
Practice address
2 Meehan LN
Cumberland, RI 02864-1413
Phone
(401) 658-2525
Fax
(401) 658-3031
NPI assigned
Nov 23, 2005
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MD10597 RI Primary

Addresses

Primary practice location

2 Meehan LN
Cumberland, RI 02864-1413

Mailing address

2 Meehan LN
Cumberland, RI 02864-1413
Phone (401) 658-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070410000729 RI Practitioner - Pediatric Medicine 5092810655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Past Accepting new patients
SHS Ventures, Inc Past Accepting new patients
Blackstone Valley Pediatrics PastSince Aug 3, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Just Kids R.I. Sick Care LLC Adolescent Medicine PastSince Aug 3, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIBCAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1023091949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEEHAN LN",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641413",
            "telephone_number": "401-658-2525",
            "fax_number": "401-658-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEEHAN LN",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641413",
            "telephone_number": "401-658-2525",
            "fax_number": "401-658-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "MALINI",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "RI",
            "license": "MD10597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

Verify at the official NPI Registry.