KIRK S HOLSTON DPM
NPI 1760462089
Podiatrist - Foot & Ankle Surgery in Indianapolis, IN

Q: What is Kirk Holston's NPI number?

The NPI number for Kirk Holston is 1760462089. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is Kirk Holston's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Kirk Holston was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment

6002 E 38TH ST, INDIANAPOLIS, IN 46226(317) 880-6002(317) 880-0417 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 13, 2024, Nov 23, 2021 (2 updates tracked since 2021).

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About Kirk S Holston Dpm NPPES

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

KIRK S HOLSTON DPM (NPI 1760462089) is an individual foot & ankle surgery provider in Indianapolis, Indiana, licensed in Indiana (070000768A) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760462089

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameKIRK S HOLSTONCredential: DPM

Location Address6002 E 38TH STIndianapolis, IN 46226-5614

Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939

Phone(317) 880-6002

Fax(317) 880-0417

Sole ProprietorNo

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1980

Enumeration DateJanuary 20, 2006

Last NPPES UpdateSeptember 22, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2025

✔ NPI 1760462089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in IN · 070000768A

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 05001328A (IN)

Also ListedPodiatristTaxonomy 213E00000X · License 070000768A (IN)

6002 E 38TH ST, Indianapolis, IN 46226

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Secondary Practice Locations 2

Location 12700 Dr Martin Luther King Jr StIndianapolis, IN 46208-5019 · Phone (317) 931-4300

Location 23850 Shore Dr, Suite 301Indianapolis, IN 46254-5621 · Phone (317) 297-3338 · Fax (317) 297-9997

Other Identifiers 6

Medicaid100121880IN

Other0005497063IN · Aetna

Other000000364510IN · Anthem Bcbs

OtherP00284245Rr Mcr

Medicaid100121880AIN

Other202158547IN · Tricare

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kirk S Holston Dpm 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 ID446210009

PECOS Enrollment IDI20041018000765

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.

Hospital Affiliations CMS Care Compare

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

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150024

Location720 Eskenazi AvenueIndianapolis, 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.

MRS. LAUREN GUNN RD, CD

Dietitian, Registered