JUSTIN STILES
NPI 1639917008
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Justin Stiles's NPI number?

The NPI number for Justin Stiles is 1639917008. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Q: What is Justin Stiles's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Stiles was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 18, 2024PECOS Enrolled

1701 N SENATE AVE, INDIANAPOLIS, IN 46202(812) 548-8834 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2026, Dec 9, 2024, Jul 18, 2024 (3 updates tracked since 2024).

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About Justin Stiles NPPES

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

JUSTIN STILES (NPI 1639917008) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639917008

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUSTIN STILES

Location Address1701 N SENATE AVEIndianapolis, IN 46202-5306

Mailing Address6452 S Arlington AveIndianapolis, IN 46237-3115 · (812) 548-8834

Phone(812) 548-8834

Sole ProprietorNo

Enumeration DateJuly 18, 2024

Last NPPES UpdateApril 16, 20263 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1639917008 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.

1701 N SENATE AVE, Indianapolis, IN 46202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Stiles 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.

HRISTOS KAIMAKLIOTIS MD

Urology