NPIMap

Individual provider Active NPI

Malcolm M Kirk, MD

  • Clinical Cardiac Electrophysiology Physician
  • Woonsocket, RI
National Provider Identifier
1508873738
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD10373 Issued in RI
Practice address
68 Cumberland St
Suite 103
Woonsocket, RI 02895
Phone
(401) 752-3838
Fax
(401) 762-8252
NPI assigned
Aug 1, 2006
Last updated
Jan 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X MD10373 RI Primary

Addresses

Primary practice location

68 Cumberland St
Suite 103
Woonsocket, RI 02895

Mailing address

68 Cumberland Street
Suite 103
Woonsocket, RI 02895
Phone (401) 762-3838

Other identifiers 1

IdentifierTypeStateIssuer
7008376MedicaidRI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412000095 RI Practitioner - Cardiovascular Disease (Cardiology) 5092709311 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Pennsylvania State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of New England PCGroup PAC ID 0547322273, 16 clinicians

Practice addresses (Care Compare)

6 Blackstone Valley PL
Suite 105
Lincoln, RI 02865-1112
Phone 4014649751109

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10373RIMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Our Lady of Fatima Hospital CurrentSince Aug 1, 2025 Accepting new patients
Chartercare Our Lady of Fatima Hospital Current Accepting new patients
Chartercare Roger Williams Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Cardiovascular Institute of New England PC CurrentSince Jan 1, 2009 Accepting new patients
Cedarz Medical and Cosmedics,Inc. Past Accepting new patients
Prospect Chartercare RWMC, LLC Past Accepting new patients
Miriam Cardiology, Inc. Past Accepting new patients
Rhode Island Cardiovascular Group Past Accepting new patients
Roger Williams Medical Center Past Accepting new patients

Locations

395 Atwood Ave
Cranston, RI 02920
Phone (401) 464-9751

1539 Atwood Ave
Ste 304
Johnston, RI 02919
Phone (401) 351-2055

6 Blackstone Valley Pl
Ste 105
Lincoln, RI 02865
Phone (401) 464-9751

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

35 Wells St
Westerly, RI 02891
Phone (401) 596-0964

68 Cumberland St
Ste 103
Woonsocket, RI 02895
Phone (401) 762-3838

Interoperability endpoints

  • Direct secure messaging: malcolm.kirk.1@29128.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1508873738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND STREET",
            "address_2": "SUITE 103",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "401-762-3838",
            "fax_number": "401-753-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "address_2": "SUITE 103",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "401-752-3838",
            "fax_number": "401-762-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "MALCOLM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "RI",
            "license": "MD10373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008376",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.