1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MR. JUSTIN ANDERSON MD
NPI 1316885643
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 25, 2026PECOS Enrolled
3635 VISTA AVE, SAINT LOUIS, MO 63110(314) 617-2000(314) 617-2779 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mr. Justin Anderson Md NPPES

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

MR. JUSTIN ANDERSON MD (NPI 1316885643) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316885643
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JUSTIN ANDERSONCredential: MD
Location Address3635 VISTA AVESaint Louis, MO 63110-2539
Mailing Address3635 Vista AveSaint Louis, MO 63110-2539 · (314) 617-2000 · Fax (314) 617-2779
Phone(314) 617-2000
Fax(314) 617-2779
Sole ProprietorNo
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1316885643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3635 VISTA AVE, Saint Louis, MO 63110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Justin Anderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. CHRIS C.W. CHAN M.D.
Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8000
STEVEN NGUYEN M.D.
Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8000
DR. PUJAN H PATEL M.D. BS
Internal Medicine
3635 VISTA AVE, 7TH FLOOR DESLOGE TOWER
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8856
MICHAEL RYAN CAVALIER
Registered Nurse (Emergency)
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8777
JANET LAQUET PHARMD
Pharmacist (Oncology)
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 257-8516
TENET HEALTHSYSTEM SL, INC.
General Acute Care Hospital
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8000
NECAT HAVLIOGLU MD
Pathology (Anatomic Pathology & Clinical Pathology)
3635 VISTA AVE, SAINT LOUIS UNIVERSITY PATHOLOGY SERVICES
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8475
DR. DANIEL KEVIN HOLT MD
Radiology (Diagnostic Radiology)
3635 VISTA AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 268-5783

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 Justin Anderson's NPI number?

The NPI number for Justin Anderson is 1316885643. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Where is Justin Anderson located?

Justin Anderson practices at 3635 Vista Ave, Saint Louis, MO 63110. The listed phone number is (314) 617-2000.

What is Justin Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Anderson enrolled in Medicare?

Yes. Justin Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Anderson was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.