1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Podiatrist
  6. NPI Profile

CHARLES W. KELLEY III D.P.M.
NPI 1811142250
Podiatrist - Foot Surgery in Indianapolis, IN

Active since November 26, 2008
5602 MADISON AVE, INDIANAPOLIS, IN 46227(317) 786-2239(317) 784-2055 Get Directions Write a Review

NPPES record last updated: February 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles W. Kelley Iii D.p.m. NPPES

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

CHARLES W. KELLEY III D.P.M. (NPI 1811142250) is a healthcare organization registered as a foot surgery in Indianapolis, Indiana and active in the NPI registry since November 2008. The organization lists Charles Walter Kelley, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1811142250
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameCHARLES W. KELLEY III D.P.M.
Location Address5602 MADISON AVEIndianapolis, IN 46227-4625
Mailing Address5602 Madison AveIndianapolis, IN 46227-4625 · (317) 786-2239 · Fax (317) 784-2055
Phone(317) 786-2239
Fax(317) 784-2055
Organization SubpartNo
Authorized OfficialCharles Walter KelleySole Proprietor · (317) 786-2239
Enumeration DateNovember 26, 2008
Last NPPES UpdateFebruary 18, 2009
✔ NPI 1811142250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in IN · 07000355A
5602 MADISON AVE, Indianapolis, IN 46227
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINT34505IN
Medicare NSC0146750001IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Charles W. Kelley III D.P.M.'s NPI number?

The NPI number for Charles W. Kelley III D.P.M. is 1811142250. It was assigned to this organization in the NPPES registry on November 26, 2008.

Where is Charles W. Kelley III D.P.M. located?

Charles W. Kelley III D.P.M. is located at 5602 Madison Ave, Indianapolis, IN 46227. The listed phone number is (317) 786-2239.

What is Charles W. Kelley III D.P.M.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Charles W. Kelley III D.P.M. was last updated on February 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.