MITCHELL T PACE (D.O.) – Diagnostic Radiology Physician, NPI 1104994847

MITCHELL T PACE (D.O.) is a healthcare provider. based in Detroit, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101010036 (MI). The NPI Number for MITCHELL T PACE (D.O.) is 1104994847

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MITCHELL T PACE (D.O.)
NPI
1104994847
Phone
(313) 916-7425
Address
HENRY FORD HEALTH SYSTEM
Enumeration Date
1 December 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Secondary Phone
2482675000
Graduation Year
1987 (39 years ago)
PAC ID
2163552993
Group Practice PAC ID
0840282067
Professional Enrollment ID
I20100604000804
Address ID
MI480986368TR4600XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for MITCHELL T PACE (D.O.)

  • Henry Ford Health System, 1, Ford Place, Henry Ford Health System Corporate Office, New Center, Detroit, Wayne County, Michigan, 48202, United States

    2799 WEST GRAND BOULEVARD-DIAG RAD

    DETROIT, MI 48202

    Phone: (313) 916-7425

    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: 2010-06-04

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
I20100604000804IDiagnostic 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
70450Ct scan head or brain without contrast253247$0
72125Ct scan of upper spine without contrast108106$0
70498Ct scan of blood vessels of neck with contrast7878$0
70496Ct scan of blood vessels of head with contrast7777$0
70553Mri scan of brain before and after contrast7575$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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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: 0840282067View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyOH
-MI
Diagnostic RadiologyCA
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Vascular Surgery, Diagnostic RadiologyMI
Diagnostic RadiologyMI

Reviews

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Frequently asked questions

What identifier follows MITCHELL T PACE (D.O.) across health systems?
The NPI 1104994847 uniquely identifies MITCHELL T PACE (D.O.) in U.S. healthcare data.
Quick check: is MITCHELL T PACE (D.O.) active?
Public NPPES data shows MITCHELL T PACE (D.O.) with an active NPI status right now.
What does the directory say MITCHELL T PACE (D.O.) does?
Insurance directories may phrase it differently, but here MITCHELL T PACE (D.O.) maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MITCHELL T PACE (D.O.)?
MITCHELL T PACE (D.O.) shows a connection to Detroit, Michigan in registry-derived data.
Why is information missing for MITCHELL T PACE (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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