MEDICARE: KYLE GLEESON DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO4518	FL
2	213ES0103X	Foot & Ankle Surgery Podiatrist	07001460A	IN
3	213ES0103X	Foot & Ankle Surgery Podiatrist	PR710	FL

General Provider Information

NPI Number	:	1831772441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLE GLEESON DPM

Provider Business Mailing Address
First Line	:	5282 E 700 N
Second Line	:
City	:	GREENFIELD
State	:	IN
Zip	:	46140-9199
Country	:	US
Telephone Number	:	317-448-7679
Fax Number	:

Provider Business Practice Location Address
First Line	:	9011 N MERIDIAN ST STE 204
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-5301
Country	:	US
Telephone Number	:	317-218-4095
Fax Number	:	877-476-7125

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2021
Last Update Date	:	12/05/2025

Similar Medicare Providers

1992960124 — DR. EUGENIA C MALENKOS D.P.M.
Practice Location Address:

9011 N MERIDIAN ST STE 204
INDIANAPOLIS, IN
46260-5301

Practice Phone: 317-218-4095
Practice Fax: 877-476-7125

1093786147 — DR. JOHN RUSSELL PHELPS III D.D.S., M.S.D.
Practice Location Address:

9011 N MERIDIAN ST
INDIANAPOLIS, IN
46260-5301

Practice Phone: 317-818-9858
Practice Fax: 317-818-1716

1043180342 — KATHERINE JAMES FNP-C
Practice Location Address:

9011 N MERIDIAN ST STE 204
INDIANAPOLIS, IN
46260-5301

Practice Phone: 317-218-4095
Practice Fax:

1013292069 — MALISA DILLS RPH
Practice Location Address:

1330 W SOUTHPORT RD
INDIANAPOLIS, IN
46217-5301

Practice Phone: 317-884-4250
Practice Fax:

1710050232 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:

1330 W SOUTHPORT RD
INDIANAPOLIS, IN
46217-5301

Practice Phone: 317-884-4250
Practice Fax: 317-884-4252

1154722684 — MISS KRISTINA LYNNE PLACE FNP
Practice Location Address:

1330 W SOUTHPORT RD
INDIANAPOLIS, IN
46217-5301

Practice Phone: 317-884-4256
Practice Fax:

Directions to “ KYLE GLEESON DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.