Individual provider Active NPI

Kyle Gleeson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1831772441
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001460A Issued in IN
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

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411004769 IN Practitioner - Podiatry 3971942830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Home Podiatry, LLCGroup PAC ID 9638325947, 5 clinicians

Practice addresses (Care Compare)

9011 N Meridian St
Suite 204
Indianapolis, IN 46260-5301
Phone (317) 847-1558

Hospital & facility affiliations

  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074
  • Community Hospital North Hospital, Indianapolis, IN, CCN 150169
  • Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113
  • Community Howard Regional Health Inc. Hospital, Kokomo, IN, CCN 150007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue278
Removal of skin lesions14
Removal of nail tissue498
Removal or shaving of skin growth193
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4518FLMDFoot & Ankle Surgery Podiatrist
PR710FLMDFoot & Ankle Surgery Podiatrist
07001460AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC CurrentSince Mar 9, 2024 Accepting new patients
At Home Podiatry, LLC Foot & Ankle Surgery CurrentSince Aug 1, 2024 Accepting new patients
Central Indiana Vascular Care, LLC. CurrentSince Sep 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.