Individual provider Active NPI

Kevin Paul Malone, D.P.M.

  • Podiatrist
  • Blue Island, IL
National Provider Identifier
1003082488
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005462 Issued in IL
Practice address
3046 127TH St
Blue Island, IL 60406-1827
Phone
(708) 377-7920
NPI assigned
May 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005462 IL Primary

Addresses

Primary practice location

3046 127TH St
Blue Island, IL 60406-1827

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 352-1515

Other practice location 1

850 W 63rd St
Chicago, IL 60621-1902
Phone (773) 377-7304

Other practice location 2

1401 Western Ave
Chicago Heights, IL 60411-3147
Phone (708) 292-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000277 IL Practitioner - Podiatry 7214002310 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

3046 Burr Oak Ave
Blue Island, IL 60406-1827
Phone (708) 377-7920

4848 W Irving Park Rd
Chicago, IL 60641-2718
Phone (855) 625-7878

850 W 63Rd St
Chicago, IL 60621-1902
Phone (312) 733-9730

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue153
Removal or shaving of skin growth84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Asg Onsite Podiatry of Ia 1 PC Podiatrist Past Accepting new patients
Osh-in Physicians Group, PC PastSince Jun 5, 2017 Accepting new patients
Asg Onsite Podiatry of Il 1 PC Podiatrist Past Accepting new patients
Asg Onsite Podiatry of Wi 1 SC Podiatrist Past Accepting new patients
Hetzel Care Center Inc Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1003082488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 127TH ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061827",
            "telephone_number": "708-377-7920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 W 63rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606211902",
            "country_code": "US",
            "telephone_number": "773-377-7304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago Heights",
            "state": "IL",
            "postal_code": "604113147",
            "country_code": "US",
            "telephone_number": "708-292-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "KEVIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Island, IL

Sources for this page

Verify at the official NPI Registry.