Individual provider Active NPI

Karen L Maloney, MD

  • Dermatology Physician
  • St Charles, IL
National Provider Identifier
1912918186
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
36.071349 Issued in IL
Practice address
2320 Dean St Ste 104
St Charles, IL 60175-1068
Phone
(630) 523-4747
Fax
(630) 584-9333
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 361-320 WI
Dermatology Physician 207N00000X 36.071349 IL Primary
Dermatology Physician 207N00000X ME123995 FL

Addresses

Primary practice location

2320 Dean St Ste 104
St Charles, IL 60175-1068

Mailing address

4411 Bee Ridge Rd # 309
Sarasota, FL 34233-2514
Phone (954) 932-4044

Other practice location 1

3105 Bobcat Village Center Rd
North Port, FL 34288-8974
Phone (941) 271-0021

Other practice location 2

1550 E Venice Ave
Venice, FL 34292-1661
Phone (941) 667-9030

Other practice location 3

925 NE 30th Ter Ste 308
Homestead, FL 33033-7614
Phone (786) 670-9799

Other practice location 4

8740 N Kendall Dr Ste 101
Miami, FL 33176-2209
Phone (305) 661-8978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110318000032 IL Practitioner - Dermatology 0648453399 Reassigns benefits to 3 organizations
I20170706000617 FL Practitioner - Dermatology 0648453399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Loyola University of Chicago, Stritch School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soderstrom Dermatology Center S CGroup PAC ID 2062432651, 31 clinicians

Practice addresses (Care Compare)

2320 Dean St
Suite 104
St Charles, IL 60175-1068
Phone (630) 523-4747

4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Phone (309) 674-7546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions97
Removal or shaving of skin growth27
Skin biopsy60

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Soderstrom Dermatology Center S C CurrentSince Feb 1, 2023 Accepting new patients
Luminary Dermatology of Miami, LLC CurrentSince Jan 3, 2025 Accepting new patients
Soderstrom Dermatology Center S C Dermatology CurrentSince Feb 1, 2023 Accepting new patients
Suleman J. Bangash D.O.S.C. CurrentSince May 28, 2019 Accepting new patients
Luminary Dermatology, PA Dermatology CurrentSince Mar 1, 2024 Accepting new patients
Mohs Surgery &Dermatology Past Accepting new patients
Elgin Gastroenterology SC Past Accepting new patients

Locations

2101 61st St W
Bradenton, FL 34209
Phone (941) 761-4448

925 NE 30th Ter
Ste 308
Homestead, FL 33033
Phone (305) 245-2768

8740 SW 88th St
Ste 101
Miami, FL 33176
Phone (305) 274-5574

3105 Bobcat Village Center Rd
North Port, FL 34288
Phone (941) 271-0021

4411 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 342-3201

1901 Haverford Ave
Sun City Ctr, FL 33573
Phone (813) 422-5533

1550 E Venice Ave
Venice, FL 34292
Phone (941) 667-9030

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

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

60 S Soangetaha Rd
Galesburg, IL 61401
Phone (309) 344-5777

1302 7th St
Ste 202
Moline, IL 61265
Phone (309) 277-0772

410 Maxine Dr
Morton, IL 61550
Phone (309) 263-7546

2100 Jacobssen Dr
Normal, IL 61761
Phone (309) 268-9980

4909 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 674-7546

2200 Marquette Rd
Peru, IL 61354
Phone (815) 224-7400

317 Illinois St
Ste A
St Charles, IL 60174
Phone (630) 443-7223

Interoperability endpoints

  • Direct secure messaging: karen.maloney@forefrontdermatology.emadirect.md
  • Direct secure messaging: kmaloney@directaddress.net
  • Direct secure messaging: klmaloney@directaddress.net

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1912918186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 BEE RIDGE RD # 309",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332514",
            "telephone_number": "954-932-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 DEAN ST STE 104",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751068",
            "telephone_number": "630-523-4747",
            "fax_number": "630-584-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Bobcat Village Center Rd",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342888974",
            "country_code": "US",
            "telephone_number": "941-271-0021",
            "fax_number": "941-296-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 E Venice Ave",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342921661",
            "country_code": "US",
            "telephone_number": "941-667-9030",
            "fax_number": "941-296-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 NE 30th Ter Ste 308",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330337614",
            "country_code": "US",
            "telephone_number": "786-670-9799",
            "fax_number": "941-296-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8740 N Kendall Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762209",
            "country_code": "US",
            "telephone_number": "305-661-8978",
            "fax_number": "941-296-8501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "361-320",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "36.071349",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME123995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.