DR. MICHAEL DENNIS MAHONEY (MD) – Obstetrics & Gynecology Physician, NPI 1629297270

DR. MICHAEL DENNIS MAHONEY (MD) is a healthcare provider. based in Grosse pointe, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 4301082053 (MI). The NPI Number for DR. MICHAEL DENNIS MAHONEY (MD) is 1629297270

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL DENNIS MAHONEY (MD)
NPI
1629297270
Phone
(313) 473-1705
Address
468 Cadieux Rd
Enumeration Date
24 April 2007
Last Update Date
28 July 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
4688765878
Group Practice PAC ID
2466543640
Professional Enrollment ID
I20070801000817
Address ID
MI480666503RO29751AVEX403

Contacts

Secure Messaging
mmahoney25042@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,735 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for DR. MICHAEL DENNIS MAHONEY (MD)

  • 468 Cadieux Rd

    Grosse Pointe, MI 482301507

    Phone: (313) 473-1705

    Fax: (313) 473-1389

    Type: Location

  • 29751 LITTLE MACK AVE

    SUITE B

    ROSEVILLE, MI 480666503

    Phone: (586) 415-6200

    Fax: (586) 415-6217

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $463.

Total Amount is formed as General ($463) + Research ($0) + Ownership ($0) = $463.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($150).

Total Amount

$463

General + Research + Ownership

Payments

18

Total payment records

General Amount

$463

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-08-01

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
I20070801000817IObstetrics/GynecologyMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2418$0
81002Urinalysis, manual test1916$0
G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous1212$0
77063Screening 3d breast mammography1111$0
77067Screening mammography1111$0
View full utilization report →

Insurance plans in this area (ZIP 48230)

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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: 2466543640View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Certified Nurse Midwife (Cnm)MI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

Is DR. MICHAEL DENNIS MAHONEY (MD) listed with a National Provider Identifier?
Yes — DR. MICHAEL DENNIS MAHONEY (MD) has NPI 1629297270 on file in the registry.
Active or inactive — what applies to DR. MICHAEL DENNIS MAHONEY (MD)?
You should see DR. MICHAEL DENNIS MAHONEY (MD) as active in CMS-hosted NPPES data.
How would a patient describe DR. MICHAEL DENNIS MAHONEY (MD)'s focus?
For DR. MICHAEL DENNIS MAHONEY (MD), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. MICHAEL DENNIS MAHONEY (MD) registered?
Use Grosse Pointe, Michigan as the headline location for DR. MICHAEL DENNIS MAHONEY (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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