Vanessa Tan, DO, MBA
NPI 1003603416 · Student in an Organized Health Care Education/Training Program · Saint Clair Shores, MI
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vanessa Tan, DO, MBA is a Student in an Organized Health Care Education/Training Program provider in Saint Clair Shores, MI (NPI 1003603416).
Provider details
- NPI number
- 1003603416
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO, MBA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-08-20
- Certified
- 2025-08-20
Frequently asked questions
- What is Vanessa Tan's NPI number?
- Vanessa Tan's National Provider Identifier (NPI) is 1003603416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vanessa Tan's specialty?
- Vanessa Tan is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Vanessa Tan located?
- Vanessa Tan's practice location on file with NPPES is 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200.
- What is Vanessa Tan's phone number?
- The practice phone number listed in the NPPES registry for Vanessa Tan is (586) 777-2050.
- Does Vanessa Tan accept Medicare?
- Vanessa Tan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vanessa Tan's NPI active?
- Yes — Vanessa Tan's NPI (1003603416) is active in the NPPES registry as of the last update on 2025-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.