Active NPI
Kyle Gleeson, DPM
- Foot & Ankle Surgery Podiatrist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07001460A
- Practice address
- 9011 N Meridian St Ste 204
Indianapolis, IN 46260-5301 - Phone
- (317) 218-4095
- Fax
- (877) 476-7125
- NPI assigned
- Apr 30, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4518 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001460A | IN | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PR710 | FL |
Addresses
Primary practice location
9011 N Meridian St Ste 204
Indianapolis, IN 46260-5301
Mailing address
5282 E 700 N
Greenfield, IN 46140-9199
Phone (317) 448-7679
Other practice location 1
209 NE 95th St Ste 6
Miami Shores, FL 33138-2745
Phone (305) 631-2698
Other practice location 2
2500 SW 75th Ave
Miami, FL 33155-2805
Phone (305) 264-5252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9011 N Meridian St
Suite 204
Indianapolis, IN 46260-5301
Phone (317) 847-1558
Hospital & facility affiliations
- Community Hospital East
- Community Hospital North
- Community Hospital of Anderson and Madison County
- Community Howard Regional Health Inc.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 278 |
| Removal of skin lesions | 14 |
| Removal of nail tissue | 498 |
| Removal or shaving of skin growth | 193 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO4518 | FL | MD | Foot & Ankle Surgery Podiatrist |
| PR710 | FL | MD | Foot & Ankle Surgery Podiatrist |
| 07001460A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Podiatry Group, PC | Current | Accepting new patients | |
| At Home Podiatry, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Central Indiana Vascular Care, LLC. | Current | Accepting new patients |
Locations
9011 N Meridian St
Ste 204
Indianapolis, IN 46260
Phone (317) 218-4095
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
Interoperability endpoints
- kyle.gleeson.1@31495.direct.athenahealth.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.
-
- Vascular & Interventional Radiology Physician
- Greenwood, IN
- NPI 1659984870
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1831772441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5282 E 700 N",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461409199",
"telephone_number": "317-448-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9011 N MERIDIAN ST STE 204",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605301",
"telephone_number": "317-218-4095",
"fax_number": "877-476-7125"
}
],
"practiceLocations": [
{
"address_1": "209 NE 95th St Ste 6",
"address_purpose": "LOCATION",
"city": "Miami Shores",
"state": "FL",
"postal_code": "331382745",
"country_code": "US",
"telephone_number": "305-631-2698",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 SW 75th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331552805",
"country_code": "US",
"telephone_number": "305-264-5252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLEESON",
"first_name": "KYLE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-30",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4518",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07001460A",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PR710",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.