Active NPI
Kevin D Malone, MD
- Surgery Physician
- Effingham, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036092819
- Practice address
- 1104 W Evergreen Ave
Effingham, IL 62401-1710 - Phone
- (217) 347-2500
- Fax
- (217) 342-9775
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036092819 | IL | Primary |
Addresses
Primary practice location
1104 W Evergreen Ave
Effingham, IL 62401-1710
Mailing address
1005 Health Center Dr Ste 201
Mattoon, IL 61938-4693
Phone (217) 238-6055
Other practice location 1
900 W Temple Ave
Suite 101
Effingham, IL 62401-2186
Phone (217) 347-2500
Other practice location 2
904 W Temple Ave
Effingham, IL 62401-2178
Phone (217) 342-1234
Other practice location 3
415 N Cedar St
Shelbyville, IL 62565-1245
Phone (217) 347-2500
Other practice location 4
220 S Park Ave Fl 3
Herrin, IL 62948-3602
Phone (618) 942-2002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092819 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmalone@sblhs.cernerdirect.com | Direct |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Wayne State University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Health Ctr Dr
Mattoon, IL 61938-4644
101 Professional PLZ
Mattoon, IL 61938-9252
Phone (217) 238-3730
1104 W Evergreen Ave
Effingham, IL 62401-1710
Phone (217) 234-7000
503 N Maple
Effingham, IL 62401-2006
Phone (217) 342-2121
904 W Temple Ave
Effingham, IL 62401-2178
Phone (217) 342-1234
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 55 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 39 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Past | Accepting new patients |
Locations
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
904 W Temple Ave
Effingham, IL 62401
Phone (217) 342-1234
1104 W Evergreen Ave
Effingham, IL 62401
Phone (217) 342-7090
1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
1007 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-7400
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
Interoperability endpoints
- kmalone@sblhs.cernerdirect.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
dba FCH Greenville Family Medicine Clinic
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
dba FCH Physician Billing
- Critical Access Hospital
- Vandalia, IL
- NPI 1912988734
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
dba St. Anthony's Memorial Hospital
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
dba St. Anthony's Memorial Hospitral
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1154331411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 HEALTH CENTER DR STE 201",
"city": "MATTOON",
"state": "IL",
"postal_code": "619384693",
"telephone_number": "217-238-6055",
"fax_number": "217-258-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 W EVERGREEN AVE",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624011710",
"telephone_number": "217-347-2500",
"fax_number": "217-342-9775"
}
],
"practiceLocations": [
{
"address_1": "900 W Temple Ave",
"address_2": "SUITE 101",
"address_purpose": "LOCATION",
"city": "Effingham",
"state": "IL",
"postal_code": "624012186",
"country_code": "US",
"telephone_number": "217-347-2500",
"fax_number": "217-342-9775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "904 W Temple Ave",
"address_purpose": "LOCATION",
"city": "Effingham",
"state": "IL",
"postal_code": "624012178",
"country_code": "US",
"telephone_number": "217-342-1234",
"fax_number": "217-342-1230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 N Cedar St",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "IL",
"postal_code": "625651245",
"country_code": "US",
"telephone_number": "217-347-2500",
"fax_number": "217-342-9775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 S Park Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483602",
"country_code": "US",
"telephone_number": "618-942-2002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALONE",
"first_name": "KEVIN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036092819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036092819",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmalone@sblhs.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "DIRECT",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1104 W Evergreen Ave",
"city": "Effingham",
"state": "IL",
"country_code": "US",
"postal_code": "624011710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.