DR. DELANEY JORDAN SERLIN (DO) – Emergency Medicine Physician, NPI 1063153997

DR. DELANEY JORDAN SERLIN (DO) is a healthcare provider. based in Detroit, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 036174295 (IL). The NPI Number for DR. DELANEY JORDAN SERLIN (DO) is 1063153997

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. DELANEY JORDAN SERLIN (DO)
NPI
1063153997
Phone
(313) 745-5147
Address
4201 SAINT ANTOINE ST OFC UHC -9C
Enumeration Date
5 April 2022
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7796964400
Graduation Year
2022 (4 years ago)
PAC ID
0143607820
Group Practice PAC ID
4385007640
Professional Enrollment ID
I20250612001588
Address ID
IL611042315RO1401XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for DR. DELANEY JORDAN SERLIN (DO)

  • 4201 SAINT ANTOINE ST OFC UHC -9C

    DETROIT, MI 482012153

    Phone: (313) 745-5147

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250612001588IEmergency MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385007640View full group profile
NameSpecialtyState
Emergency MedicineWV
Emergency MedicineWI
Nurse PractitionerIL
Nurse PractitionerWI
Emergency MedicineCA
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineMI
Nurse PractitionerIL
Nurse PractitionerWI

Reviews

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Frequently asked questions

Where can patients find DR. DELANEY JORDAN SERLIN (DO)'s NPI?
You can confirm DR. DELANEY JORDAN SERLIN (DO) with NPI 1063153997; it appears in the national provider directory.
Is DR. DELANEY JORDAN SERLIN (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. DELANEY JORDAN SERLIN (DO) work in?
You can think of DR. DELANEY JORDAN SERLIN (DO) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. DELANEY JORDAN SERLIN (DO)?
The snapshot lists Detroit, Michigan for DR. DELANEY JORDAN SERLIN (DO); download NPPES for the complete set.
What if Detroit, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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