JUSTINE ANH QUY TRAN-SERRANO (DO) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1144967100

JUSTINE ANH QUY TRAN-SERRANO (DO) is a healthcare provider. based in East lansing, Michigan. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials DO. They hold a License No. 5101028715 (MI). The NPI Number for JUSTINE ANH QUY TRAN-SERRANO (DO) is 1144967100

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JUSTINE ANH QUY TRAN-SERRANO (DO)
NPI
1144967100
Phone
Not provided
Address
4660 S HAGADORN RD
Enumeration Date
19 May 2022
Last Update Date
27 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2316726336
Graduation Year
2022 (4 years ago)
PAC ID
7416469234
Group Practice PAC ID
2365439544
Professional Enrollment ID
I20250625003917
Address ID
MI494441886MU1150XBLVD402
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

158 OSTEOPATHIC MANIPULATIVE MEDICINE in MI

Provider Addresses for JUSTINE ANH QUY TRAN-SERRANO (DO)

  • 4660 S HAGADORN RD

    EAST LANSING, MI 488235376

    Phone:

    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: 2025-06-25

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
I20250625003917IOsteopathic Manipulative MedicineMITBD

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 48823)

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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: 2365439544View full group profile
NameSpecialtyState
Internal Medicine, HospitalistIL
Osteopathic Manipulative Medicine, Emergency MedicineTX
Hospitalist, Internal MedicineMI
Clinical PsychologistCA
Physician AssistantMI
Physician AssistantMI
Physician AssistantMT
Physician AssistantMI
Internal MedicineMI
Internal MedicineMI

Reviews

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Frequently asked questions

What unique ID ties claims to JUSTINE ANH QUY TRAN-SERRANO (DO)?
NPI 1144967100 is assigned to JUSTINE ANH QUY TRAN-SERRANO (DO) under the national enumeration system.
Does this profile mean JUSTINE ANH QUY TRAN-SERRANO (DO) is currently active?
Yes — JUSTINE ANH QUY TRAN-SERRANO (DO) appears active in the national provider directory.
Does JUSTINE ANH QUY TRAN-SERRANO (DO) list a primary specialty?
If you are matching referrals, note Neuromusculoskeletal Medicine & OMM Physician for JUSTINE ANH QUY TRAN-SERRANO (DO). Clinical services aligned with this taxonomy classification.
Where is JUSTINE ANH QUY TRAN-SERRANO (DO)'s primary listing?
We display East Lansing, Michigan because that is what the record indicates for JUSTINE ANH QUY TRAN-SERRANO (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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