DR. JUSTICE DARRYL SANDERS MD
NPI 1609621028
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 19, 2024PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justice Darryl Sanders Md NPPES

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

DR. JUSTICE DARRYL SANDERS MD (NPI 1609621028) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351052826) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609621028
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JUSTICE DARRYL SANDERSCredential: MD
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address3434 Russell St Ste 107Detroit, MI 48207-2057 · (248) 924-5081
Sole ProprietorNo
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
NPI 1609621028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351052826
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.
2799 W GRAND BLVD, Detroit, MI 48202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Justice Darryl Sanders 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.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 Justice Sanders's NPI number?

The NPI number for Justice Sanders is 1609621028. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Justice Sanders located?

Justice Sanders practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.

What is Justice Sanders's specialty?

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

Is Justice Sanders enrolled in Medicare?

Yes. Justice Sanders is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justice Sanders was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.