Individual provider Active NPI

Amer B Malik, MD

  • Gastroenterology Physician
  • Riverside, RI
National Provider Identifier
1679560684
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD07845 Issued in RI
Practice address
58 Amaral St
Riverside, RI 02915-2205
Phone
(401) 606-4260
Fax
(401) 606-4261
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD07845 RI Primary

Addresses

Primary practice location

58 Amaral St
Riverside, RI 02915-2205

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779

Other practice location 1

950 Warren Ave Ste 302
East Providence, RI 02914-1432
Phone (401) 444-2701

Other practice location 2

50 Maude St
Providence, RI 02908-4325
Phone (401) 456-2309

Other practice location 3

375 Wampanoag Trl
Riverside, RI 02915-2232
Phone (401) 649-4030

Other identifiers 1

IdentifierTypeStateIssuer
1679560684MedicaidRI

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
I20050421000691 RI Practitioner - Gastroenterology 8527006378 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians
Brown MedicineGroup PAC ID 0446159776, 220 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

245 Chapman St
Suite 300
Providence, RI 02905-4539
Phone (401) 444-5280

375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4010

58 Amaral St
Riverside, RI 02915-2205
Phone (401) 606-4260

Hospital & facility affiliations

  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy63
Upper gastrointestinal (GI) endoscopy for acid reflux60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD07845RIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare RWMC, LLC CurrentSince Jan 1, 2017 Accepting new patients
Brown Medicine CurrentSince Jul 1, 2024 Accepting new patients
Brown Medicine Gastroenterology CurrentSince Jul 1, 2024 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Rhode Island Hospital CurrentSince Jul 1, 2024 Accepting new patients
Prospect Chartercare Physicians, LLC Gastroenterology CurrentSince Aug 20, 2017 Accepting new patients
Prospect Chartercare RWMC, LLC Current Accepting new patients
Rhode Island Hospital CurrentSince Jul 1, 2024 Accepting new patients
Brown Medicine Gastroenterology Current Accepting new patients
University Gastroenterology, LLC Gastroenterology CurrentSince Aug 1, 2022 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

950 Warren Ave
Ste 302
East Providence, RI 02914
Phone (401) 444-2701

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

15 La Salle Sq
Providence, RI 02903

245 Chapman St
Ste 300
Providence, RI 02905
Phone (401) 444-4741

110 Elm St
Providence, RI 02903
Phone (401) 443-4992

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

593 Eddy St
Providence, RI 02903

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

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

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

245 Chapman St
Providence, RI 02905
Phone (401) 444-4741

146 W River St
Ste 11D
Providence, RI 02904
Phone (401) 606-3000

58 Amaral St
Riverside, RI 02915
Phone (401) 606-4260

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

62 Amaral St
Riverside, RI 02915
Phone (401) 649-4030

43 Jefferson Blvd
Warwick, RI 02888
Phone (401) 316-5482

Organizations & group practices 12

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

Hospital & facility affiliations 5

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1679560684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 AMARAL ST",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152205",
            "telephone_number": "401-606-4260",
            "fax_number": "401-606-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Warren Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029141432",
            "country_code": "US",
            "telephone_number": "401-444-2701",
            "fax_number": "401-444-2740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Maude St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084325",
            "country_code": "US",
            "telephone_number": "401-456-2309",
            "fax_number": "401-456-6701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Wampanoag Trl",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152232",
            "country_code": "US",
            "telephone_number": "401-649-4030",
            "fax_number": "401-649-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "AMER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "MD07845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679560684",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.