Individual provider Active NPI

Charles Steven Kiell, M.D.

  • Vascular Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1861455156
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
01072900A Issued in IN
Practice address
5255 E Stop 11 Rd Ste 200
Indianapolis, IN 46237-6341
Phone
(317) 528-1212
Fax
(317) 528-1252
NPI assigned
Apr 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01072900A IN
Surgical Oncology Physician 2086X0206X 01072900A IN
Vascular Surgery Physician 2086S0129X 01072900A IN Primary

Addresses

Primary practice location

5255 E Stop 11 Rd Ste 200
Indianapolis, IN 46237-6341

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211

Other identifiers 7

IdentifierTypeStateIssuer
020032139OtherNCRAIL ROAD MEDICARE
280000OtherNCMAMSI
48921OtherNCBLUE CROSS BLUE SHIELD NC
9834OtherNCPARTNERS
8948921MedicaidNC
657768OtherNCFIRST HEALTH
A8803OtherNCMEDCOST

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckiell154051@Direct.FranciscanAlliance.org Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131028001932 IN Practitioner - Vascular Surgery 3274665617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Rutgers New Jersey Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

5255 E Stop 11 Rd
Suite 200
Indianapolis, IN 46237-6341
Phone (317) 857-2323

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Franciscan Health Mooresville Hospital, Mooresville, IN, CCN 150057
  • Major Hospital Hospital, Shelbyville, IN, CCN 150097

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072900AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital CurrentSince May 1, 2025 Accepting new patients
X-Ray Physicians of Shelbyville PC Current Accepting new patients
Franciscan Physician Network CurrentSince Feb 22, 2020 Accepting new patients
Franciscan Physician Network CurrentSince Feb 22, 2020 Accepting new patients
Hickory Surgical Clinic, Inc. Surgery Current Accepting new patients
Major Hospital CurrentSince May 1, 2025 Accepting new patients

Locations

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

1704 Lafayette Rd
Ste 8
Crawfordsvlle, IN 47933
Phone (317) 528-4251

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

1703 W Stones Crossing Rd
Ste 310
Greenwood, IN 46143
Phone (317) 528-7650

5255 E Stop 11 Rd
Ste 200
Indianapolis, IN 46237
Phone (317) 528-1212

5255 E Stop 11 Rd
Ste 430
Indianapolis, IN 46237
Phone (317) 889-7906

1203 Hadley Rd
Ste 220
Mooresville, IN 46158
Phone (317) 528-1212

1203 Hadley Rd
Ste 204
Mooresville, IN 46158
Phone (317) 834-8062

2451 Intelliplex Dr
#3
Shelbyville, IN 46176
Phone (317) 528-2674

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

415 N Center St
Ste 102
Hickory, NC 28601
Phone (704) 327-9178

774 Hartness Rd
Statesville, NC 28677
Phone (704) 768-3030

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.

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": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1861455156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 E STOP 11 RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376341",
            "telephone_number": "317-528-1212",
            "fax_number": "317-528-1252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 Intelliplex Dr",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461768580",
            "country_code": "US",
            "telephone_number": "317-392-3211",
            "fax_number": "317-398-1851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIELL",
        "first_name": "CHARLES",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-09",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01072900A",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "IN",
            "license": "01072900A",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01072900A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "020032139",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "280000",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "48921",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "9834",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8948921",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "657768",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A8803",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckiell154051@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5255 E Stop 11 Rd Ste 200",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462376341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.