Individual provider Active NPI

Donovan Kearns, MD

  • Dermatology Physician
  • Des Plaines, IL
National Provider Identifier
1801473624
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.176703 Issued in IL
Practice address
1455 E Golf Rd Ste 104
Des Plaines, IL 60016-1253
Phone
(847) 699-3101
Fax
(847) 699-3104
NPI assigned
Mar 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036.176703 IL Primary

Addresses

Primary practice location

1455 E Golf Rd Ste 104
Des Plaines, IL 60016-1253

Mailing address

1455 E Golf Rd Ste 104
Des Plaines, IL 60016-1253
Phone (847) 699-3101

Other practice location 1

3060 N Arlington Heights Rd
Arlington Heights, IL 60004-1530
Phone (847) 394-1202

Other practice location 2

1750 N Randall Rd Ste 120
Elgin, IL 60123-7900
Phone (847) 608-6647

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
I20251030004451 IL Practitioner - Dermatology 0446749295 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Loma Linda University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suleman J. Bangash D.O.S.C.Group PAC ID 8729165006, 17 clinicians
Ab Dermatology LLCGroup PAC ID 4789906322, 10 clinicians

Practice addresses (Care Compare)

1750 N Randall Rd
Suite 120
Elgin, IL 60123-7900
Phone (847) 608-6647

3060 N Arlington Heights Rd
Arlington Heights, IL 60004-1530
Phone (847) 394-1202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions170
Removal or shaving of skin growth1-10
Skin biopsy65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.176703ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suleman J. Bangash D.O.S.C. CurrentSince Dec 12, 2025 Accepting new patients
Skinnovate, LLC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Medovate LLC CurrentSince Sep 1, 2025 Accepting new patients
Ab Dermatology LLC Dermatology CurrentSince Dec 12, 2025 Accepting new patients
Des Plaines Dermatology, LTD. Dermatology PastSince Sep 1, 2010 Accepting new patients
Mohs Surgery &Dermatology PastSince Dec 12, 2025 Accepting new patients

Locations

3060 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (847) 394-1202

3060 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 394-1202

1450 Busch Pkwy
Ste 145
Buffalo Grove, IL 60089
Phone (708) 669-9313

820 E Terra Cotta Ave
Ste 125
Crystal Lake, IL 60014
Phone (815) 455-4434

1455 E Golf Rd
Ste 104
Des Plaines, IL 60016
Phone (773) 935-4700

1750 N Randall Rd
Ste 120
Elgin, IL 60123
Phone (847) 608-6647

901 Biesterfield Rd
Ste 209
Elk Grove Vlg, IL 60007
Phone (847) 593-6222

1625 Sheridan Rd
Ste A
Wilmette, IL 60091
Phone (847) 256-2890

Organizations & group practices 6

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1801473624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E GOLF RD STE 104",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161253",
            "telephone_number": "847-699-3101",
            "fax_number": "847-699-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E GOLF RD STE 104",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161253",
            "telephone_number": "847-699-3101",
            "fax_number": "847-699-3104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3060 N Arlington Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600041530",
            "country_code": "US",
            "telephone_number": "847-394-1202",
            "fax_number": "847-394-3674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 N Randall Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601237900",
            "country_code": "US",
            "telephone_number": "847-608-6647",
            "fax_number": "847-608-6674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "DONOVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.176703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.