DR. EDWARD JAMES MAUCH (M.D.) – Diagnostic Radiology Physician, NPI 1063628154

DR. EDWARD JAMES MAUCH (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301081864 (MI). The NPI Number for DR. EDWARD JAMES MAUCH (M.D.) is 1063628154

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD JAMES MAUCH (M.D.)
NPI
1063628154
Phone
(313) 745-3430
Address
4201 SAINT ANTOINE ST
Enumeration Date
15 May 2007
Last Update Date
12 December 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8103422000
Graduation Year
2003 (23 years ago)
PAC ID
4183775745
Group Practice PAC ID
2365968351
Professional Enrollment ID
I20090623000138
Address ID
MI485323638FL401XXHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for DR. EDWARD JAMES MAUCH (M.D.)

  • Detroit Receiving Hospital and University Health Center, 4201, Saint Antoine Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    DRH 3L-8, DEPT OF RADIOLOGY

    DETROIT, MI 482012153

    Phone: (313) 745-3430

    Type: Location

  • 4415, Fox Hill Drive, Sterling Heights, Macomb County, Michigan, 48310, United States

    STERLING HEIGHTS, MI 483103371

    Phone: (313) 407-7950

    Type: Mailing

  • 3601 W 13 Mile Rd

    Royal Oak, MI 480736712

    Phone: (248) 898-6509

    Type: Location

  • 4000 Wellness Dr

    Midland, MI 486702153

    Phone: (989) 839-1927

    Fax: (989) 839-1928

    Type: Location

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: 2009-06-23

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
I20090623000138IDiagnostic RadiologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view674595$0
71046X-ray of chest, 2 views559536$0
70450Ct scan head or brain without contrast457438$0
74177Ct scan of abdomen and pelvis with contrast219214$0
77067Screening mammography187187$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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Provider's Procedures

DR. EDWARD JAMES MAUCH (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI71010X-ray of chest, 1 view, front860670
DIAGNOSTIC RADIOLOGYMI71250CT scan chest126123
DIAGNOSTIC RADIOLOGYMI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers107106

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: 2365968351View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Internal MedicineMI
Internal MedicineMI
Physician AssistantMI
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Diagnostic RadiologyMI
Radiation Oncology, Diagnostic RadiologyMI

Reviews

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Frequently asked questions

Where can patients find DR. EDWARD JAMES MAUCH (M.D.)'s NPI?
You can confirm DR. EDWARD JAMES MAUCH (M.D.) with NPI 1063628154; it appears in the national provider directory.
Is DR. EDWARD JAMES MAUCH (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. EDWARD JAMES MAUCH (M.D.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DR. EDWARD JAMES MAUCH (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. EDWARD JAMES MAUCH (M.D.)?
The page summarizes Detroit, Michigan for DR. EDWARD JAMES MAUCH (M.D.); expand the address list for detail.
Is DR. EDWARD JAMES MAUCH (M.D.) a real provider?
This page reflects official NPPES data for NPI 1063628154. Always confirm identity and privileges with the practice and licensing boards.

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