Individual provider Active NPI

Kevin D Malone, MD

  • Surgery Physician
  • Effingham, IL
National Provider Identifier
1154331411
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036092819 Issued in IL
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

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036092819MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818000654 IL Practitioner - General Surgery 3375546492 Reassigns benefits to 1 organization

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
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

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 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy55
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux39
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Apr 15, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.