Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle William Jackson, MD

Individual provider Pediatric Hematology & Oncology Physician · NPI 1194967604

Kyle William Jackson, MD is a Pediatric Medicine in Indianapolis, Indiana. Graduated from Wayne State University School of Medicine in 2009, 17 years ago. Practices with University Pediatric Associates Inc, a 104-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
17
Trained at
Wayne State University School of Medicine
Licensed in
IN
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

705 Riley Hospital Dr Roc 4340
Indianapolis, IN 46202-5109
Phone: (317) 944-2143
Fax: (317) 944-3107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11104 Parkview Circle Dr Ste 50, Fort Wayne, IN 46845-1733 — (260) 266-5400

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 01078900 (IN)

Record details

NPI number1194967604
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2009
Last updated in NPPESFebruary 14, 2026
Certification dateFebruary 14, 2026
Mailing addressPo Box 719094, Chicago, IL 60677-9318

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice University Pediatric Associates Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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