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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLE WILLIAM JACKSON MD
NPI 1194967604
Pediatrics - Pediatric Hematology-Oncology in Indianapolis, IN

Active since March 30, 2009PECOS EnrolledAccepts Medicare Assignment
705 RILEY HOSPITAL DR, ROC 4340, INDIANAPOLIS, IN 46202(317) 944-2143(317) 944-3107 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2026, Sep 3, 2026, Jan 18, 2023 and 3 more (6 updates tracked since 2016).

About Kyle William Jackson Md NPPES

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

KYLE WILLIAM JACKSON MD (NPI 1194967604) is an individual pediatric hematology-oncology provider in Indianapolis, Indiana, licensed in Indiana (01078900) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194967604
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameKYLE WILLIAM JACKSONCredential: MD
Location Address705 RILEY HOSPITAL DR, ROC 4340Indianapolis, IN 46202-5109
Mailing AddressPo Box 719094Chicago, IL 60677-9318 · (317) 777-6435 · Fax (317) 777-6644
Phone(317) 944-2143
Fax(317) 944-3107
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2009
Enumeration DateMarch 30, 2009
Last NPPES UpdateSeptember 8, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1194967604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in IN · 01078900
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedHospitalistTaxonomy 208M00000X · License 01078900A (IN)
705 RILEY HOSPITAL DR, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111104 Parkview Circle Dr Ste 50Fort Wayne, IN 46845-1733 · Phone (260) 266-5400
Location 27150 Clearvista DrIndianapolis, IN 46256-1695 · Phone (317) 621-6262

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle William Jackson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204107766
PECOS Enrollment IDI20170802002667
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kyle Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Pediatric Associates, Inc.
Same address
Pediatrics
705 RILEY HOSPITAL DR, RR 127
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1457396541 (317) 777-6435
Iu Health Medical Group Riley Specialists, LLC
Same address
Pediatrics
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 523 clinicians in this Medicare group
NPI 1699561480 (317) 944-5000
Community Physicians Of Indiana Inc
10 mi
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
NPI 1619105244 (317) 355-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

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.

MOHANNAD MOALLEM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
TIA IMHOFF MCGEE FNP-BC
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 312-2204
JOSHUA WAYNE GOLLUB
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
NOAH MENAKER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-3865
DR. ANAS NADER ATA ALJABARI MBBS
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (856) 398-9630
TALIA RAE BOOHER MB BCH BAO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7571
JANET R SHAVER NP
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Marion County (317) 944-4842
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

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 Jackson's NPI number?

The NPI number for Kyle Jackson is 1194967604. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Where is Kyle Jackson located?

Kyle Jackson practices at 705 Riley Hospital Dr Roc 4340, Indianapolis, IN 46202. The listed phone number is (317) 944-2143.

What is Kyle Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Kyle Jackson enrolled in Medicare?

Yes. Kyle Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kyle Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Jackson reassigns Medicare benefits to 3 organizations: University Pediatric Associates, Inc. (Indianapolis, IN), Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN) and Community Physicians Of Indiana Inc (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Jackson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Kyle Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kyle Jackson affiliated with any hospitals?

According to CMS data, Kyle Jackson is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Kyle Jackson was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.