Kirk S Holston, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" physician in Indianapolis, Indiana. His current practice location is
6002 E 38th St, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 880-6002.
Kirk S Holston is licensed to practice in Indiana (license number 070000768A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760462089.
Physician's Profile
| Full Name | Kirk S Holston |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 6002 E 38th St, Indianapolis, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kirk S Holston attended and graduated from in
NPI Data:
- NPI Number: 1760462089
- Provider Enumeration Date: 01/20/2006
- Last Update Date: 09/22/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kirk S Holston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760462089 | NPI | - | NPPES |
| 100121880 | Medicaid | IN | |
| 0005497063 | Other | IN | AETNA |
| 000000364510 | Other | IN | ANTHEM BCBS |
| P00284245 | Other | | RR MCR |
| 100121880A | Medicaid | IN | |
| 202158547 | Other | IN | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 05001328A (Indiana) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 070000768A (Indiana) | Primary |
| 213E00000X | Podiatrist | 070000768A (Indiana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kirk S Holston is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kirk S Holston, DPM
Po Box 637764,
Cincinnati, OH 45263-7764
Ph: (317) 880-3939 | Kirk S Holston, DPM
6002 E 38th St,
Indianapolis, IN 46226-5614
Ph: (317) 880-6002 |
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