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DR. VANESSA TAN DO, MBA
NPI 1003603416
Student in an Organized Health Care Education/Training Program in Saint Clair Shores, MI

Active since April 21, 2025PECOS Enrolled
24911 LITTLE MACK AVE STE C, SAINT CLAIR SHORES, MI 48080(586) 777-2050 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vanessa Tan Do, Mba NPPES

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

DR. VANESSA TAN DO, MBA (NPI 1003603416) is an individual student in an organized health care education/training program in Saint Clair Shores, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003603416
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. VANESSA TANCredential: DO, MBA
Location Address24911 LITTLE MACK AVE STE CSaint Clair Shores, MI 48080-3200
Mailing Address24911 Little Mack Ave Ste CSaint Clair Shores, MI 48080-3200
Phone(586) 777-2050
Sole ProprietorNo
Enumeration DateApril 21, 2025
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1003603416 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.
24911 LITTLE MACK AVE STE C, Saint Clair Shores, MI 48080
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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)

Dr. Vanessa Tan Do, Mba 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. EMIANKA SOTIRI MD
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
TAZKIA SADIA AL-BARI MD
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
SHEHR HUSSAIN DO
Student in an Organized Health Care Education/Training Program
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
DR. AMRITA PANDEY MD
Student in an Organized Health Care Education/Training Program
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
DR. AMIT MISRA MD
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
SARAH HAGLE MD
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 447-9064
DR. SIGMUND O MCINTYRE MD
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 447-9071
DR. VAN CHAU HONG VO M.D.
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050

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 Vanessa Tan's NPI number?

The NPI number for Vanessa Tan is 1003603416. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Vanessa Tan located?

Vanessa Tan practices at 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080. The listed phone number is (586) 777-2050.

What is Vanessa Tan's specialty?

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

Is Vanessa Tan enrolled in Medicare?

Yes. Vanessa Tan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vanessa Tan was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.