DR. EDWARD JAMES MAUCH M.D.
NPI 1063628154
Radiology - Diagnostic Radiology in Detroit, MI
About Dr. Edward James Mauch M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD JAMES MAUCH M.D. (NPI 1063628154) is an individual diagnostic radiology provider in Detroit, Michigan, licensed in Michigan (4301081864) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Edward James Mauch M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
10Medicare enrollment records show Edward Mauch reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- 35 clinicians in this Medicare group
Port Huron, MI 48060
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Mawan Shuayto MD PC
- 20 clinicians in this Medicare group
Port Huron, MI 48060
- Reassigned Medicare billing, Michigan enrollment
- 11 clinicians in this Medicare group
Flint, MI 48532
- Reassigned Medicare billing, Michigan enrollment
- 444 clinicians in this Medicare group
Flint, MI 48532
- Reassigned Medicare billing, Michigan enrollment
- 242 clinicians in this Medicare group
Okemos, MI 48864
- Reassigned Medicare billing, Michigan enrollment
- 167 clinicians in this Medicare group
Bay City, MI 48708
- Reassigned Medicare billing, Michigan enrollment
- 250 clinicians in this Medicare group
Midland, MI 48670
- Reassigned Medicare billing, Michigan enrollment
- 71 clinicians in this Medicare group
Mt Pleasant, MI 48858
- Reassigned Medicare billing, Michigan enrollment
- 321 clinicians in this Medicare group
Kincheloe, MI 49788
- Reassigned Medicare billing, Michigan enrollment
- 185 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 45
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Bay Region
Acute Care Hospitals · Bay City, MIAscension St John Hospital
Acute Care Hospitals · Detroit, MIMclaren Port Huron
Acute Care Hospitals · Port Huron, MIAscension River District Hospital
Acute Care Hospitals · East China, MIMckenzie Health System
Critical Access Hospitals · Sandusky, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edward Mauch's NPI number?
The NPI number for Edward Mauch is 1063628154. It was assigned to this individual provider in the NPPES registry on May 15, 2007.
Where is Edward Mauch located?
Edward Mauch practices at 4201 Saint Antoine St Drh 3l-8, Dept Of Radiology, Detroit, MI 48201. The listed phone number is (313) 745-3430.
What is Edward Mauch's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Edward Mauch enrolled in Medicare?
Yes. Edward Mauch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Edward Mauch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Mauch reassigns Medicare benefits to 10 organizations: Eastpointe Radiologists, P.C. (Detroit, MI), Marwan Shuayto MD PC (Port Huron, MI), X-Ray Associates Of Port Huron P C (Port Huron, MI), Mclaren Hospital Group (Flint, MI), Mclaren Flint (Flint, MI) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Mauch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Mauch accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Edward Mauch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Edward Mauch affiliated with any hospitals?
According to CMS data, Edward Mauch is affiliated with Mclaren Bay Region, Ascension St John Hospital, Mclaren Port Huron, Ascension River District Hospital and Mckenzie Health System.
When was this NPI record last updated?
The NPPES record for Edward Mauch was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.