DR. MALAN HASULA KERN (MD) – Dermatology Physician, NPI 1538690037

DR. MALAN HASULA KERN (MD) is a healthcare provider. based in Libertyville, Illinois. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 036.155630 (IL). The NPI Number for DR. MALAN HASULA KERN (MD) is 1538690037

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. MALAN HASULA KERN (MD)
NPI
1538690037
Phone
(847) 367-5575
Address
1240 N Milwaukee Ave Ste B
Enumeration Date
26 March 2017
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8478433376
Graduation Year
2021 (5 years ago)
PAC ID
7012285356
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20210715001589
Address ID
IL600268089GL2601XRDXX301

Contacts

Secure Messaging
malankern@lakesidederm.emadirect.md
Secure Messaging
mkern315369@direct.myadvocateaurora.org
FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

703 DERMATOLOGY in IL

Provider Addresses for DR. MALAN HASULA KERN (MD)

  • 1240 N Milwaukee Ave Ste B

    Libertyville, IL 600481307

    Phone: (847) 367-5575

    Fax: (847) 367-5579

    Type: Location

  • 1425 N Hunt Club Rd Ste 202

    Gurnee, IL 600312635

    Phone: (847) 855-1730

    Fax: (847) 855-1736

    Type: Location

  • 1240 N MILWAUKEE AVE

    LIBERTYVILLE, IL 600481307

    Phone: (847) 367-5575

    Fax: (847) 367-5579

    Type: Mailing

  • 1240 N MILWAUKEE AVE STE A

    LIBERTYVILLE, IL 600481307

    Phone: (847) 367-5575

    Fax: (847) 367-5579

    Type: Location

  • 2601 Compass Rd Ste 125

    Glenview, IL 600268089

    Phone: (847) 843-3376

    Fax: (847) 998-8631

    Type: Location

  • 576, West Markham Street, Little Rock, Pulaski County, Arkansas, 72201, United States

    LITTLE ROCK, AR 722057101

    Phone: (501) 526-6551

    Type: Mailing

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 143 Open Payments records for all available years, with a total value of $2,844.

Total Amount is formed as General ($2,844) + Research ($0) + Ownership ($0) = $2,844.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($592).

Total Amount

$2,844

General + Research + Ownership

Payments

143

Total payment records

General Amount

$2,844

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210715001589IDermatologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths700134$0
99213Established patient office or other outpatient visit, 20-29 minutes437323$0
17000Destruction of precancer skin growth, 1 growth294222$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks234193$0
11102Biopsy of related skin growth, first growth194168$0
View full utilization report →

Insurance plans in this area (ZIP 60048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Is there an official ID for DR. MALAN HASULA KERN (MD) in U.S. healthcare records?
The official identifier for DR. MALAN HASULA KERN (MD) is NPI 1538690037.
Is DR. MALAN HASULA KERN (MD) shown as active in public data?
Registry records indicate DR. MALAN HASULA KERN (MD) maintains an active NPI.
What kind of doctor is DR. MALAN HASULA KERN (MD)?
DR. MALAN HASULA KERN (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MALAN HASULA KERN (MD)?
Directory geography for DR. MALAN HASULA KERN (MD) centers on Libertyville, Illinois.
Can I trust this NPI listing for DR. MALAN HASULA KERN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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