Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTIN LEONEL CRUZ SANTOS MD, PHD
NPI 1841770179
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since August 16, 2018PECOS Enrolled
4590 NASH WAY, SAINT LOUIS, MO 63110(314) 362-1930 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Leonel Cruz Santos Md, Phd NPPES

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

JUSTIN LEONEL CRUZ SANTOS MD, PHD (NPI 1841770179) is an individual student in an organized health care education/training program in Saint Louis, Missouri, licensed in Missouri (2026027042) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1841770179
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN LEONEL CRUZ SANTOSCredential: MD, PHD
Location Address4590 NASH WAYSaint Louis, MO 63110-1020
Mailing Address660 S Euclid AveSaint Louis, MO 63110-1010
Sole ProprietorNo
Enumeration DateAugust 16, 2018
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1841770179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MO · 2026027042
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.
4590 NASH WAY, Saint Louis, MO 63110

Secondary Practice Location 1

Location 11364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (404) 712-2000

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 Leonel Cruz Santos Md, Phd 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.

Student in an Organized Health Care Education/Training Program
4590 NASH WAY
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
4590 NASH WAY
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
4590 NASH WAY
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
4590 NASH WAY
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
4590 NASH WAY, MAILSTOP: 90-29-928
ST LOUIS, MO 63110
Pathology (Clinical Pathology)
4590 NASH WAY
SAINT LOUIS, MO 63110
Internal Medicine
4590 NASH WAY
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
4590 NASH WAY
SAINT LOUIS, MO 63110

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 Leonel Santos's NPI number?

The NPI number for Justin Leonel Santos is 1841770179. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Where is Justin Leonel Santos located?

Justin Leonel Santos practices at 4590 Nash Way, Saint Louis, MO 63110. The listed phone number is (314) 362-1930.

What is Justin Leonel Santos'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 Leonel Santos enrolled in Medicare?

Yes. Justin Leonel Santos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Leonel Santos was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.