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KYLE GLISSON
NPI 1023645702
Pediatrics - Pediatric Gastroenterology in New Orleans, LA

Active since March 24, 2020PECOS Enrolled
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118(504) 896-9534 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 20, 2026, Mar 24, 2020 (2 updates tracked since 2020).

About Kyle Glisson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE GLISSON (NPI 1023645702) is an individual pediatric gastroenterology provider in New Orleans, Louisiana, licensed in Louisiana (336110) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023645702
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameKYLE GLISSON
Location Address200 HENRY CLAY AVENew Orleans, LA 70118-5720
Mailing Address2000 2nd Ave S Apt 518Birmingham, AL 35233-2087
Phone(504) 896-9534
Sole ProprietorNo
Enumeration DateMarch 24, 2020
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1023645702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in LA · 336110
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 HENRY CLAY AVE, New Orleans, LA 70118
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Glisson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIT KUMAR SHARMA MD
Orthopaedic Surgery
200 HENRY CLAY AVE, STE 4103 CHILDREN'S HOSPITAL
NEW ORLEANS, LA 70118
Orleans Parish (504) 896-9569
LSU HEALTH NEW ORLEANS
Student in an Organized Health Care Education/Training Program
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118
Orleans Parish (504) 896-9441
DR. BRIAN BARKEMEYER M.D.
Pediatrics (Neonatal-Perinatal Medicine)
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118
Orleans Parish (504) 896-9418
DR. JODI LYNN KAMPS PH.D.
Psychologist (Clinical)
200 HENRY CLAY AVE, DEPARTMENT OF PSYCHOLOGY SUITE 3030
NEW ORLEANS, LA 70118
Orleans Parish (504) 896-9484
BENTLEY BABIN CRNA
Nurse Anesthetist, Certified Registered
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118
Orleans Parish (504) 896-9456
LAURA ANNA PETRAUSKAS MD
Otolaryngology
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118
Orleans Parish (504) 899-9511
KATHERINE GILL FNP
Nurse Practitioner (Family)
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118
Orleans Parish (504) 896-9569
CARRIE PHAM MD
Student in an Organized Health Care Education/Training Program
200 HENRY CLAY AVE
NEW ORLEANS, LA 70118
Orleans Parish (504) 899-9511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Glisson's NPI number?

The NPI number for Kyle Glisson is 1023645702. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Kyle Glisson located?

Kyle Glisson practices at 200 Henry Clay Ave, New Orleans, LA 70118. The listed phone number is (504) 896-9534.

What is Kyle Glisson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Kyle Glisson enrolled in Medicare?

Yes. Kyle Glisson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Glisson was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.