Individual provider Active NPI

Stephanie Mauch, DO

  • Family Medicine Physician
  • Hinsdale, IL
National Provider Identifier
1194892232
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036114200 Issued in IL
Practice address
908 N Elm St Ste 202
Hinsdale, IL 60521-3637
Phone
(630) 861-6663
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036114200 IL Primary

Addresses

Primary practice location

908 N Elm St Ste 202
Hinsdale, IL 60521-3637

Mailing address

908 N Elm St Ste 202
Hinsdale, IL 60521-3637
Phone (630) 861-6663

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.muach.1@380.direct.athenahealth.com
Direct Messaging Address stephanie.muach.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000672 IL Practitioner - Family Practice 7517974157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

396 Remington Blvd
Bolingbrook, IL 60440-4311

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Home Care Home health agency, La Grange, IL, CCN 147207
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065
  • Uchicago Medicine Adventhealth Glenoaks Hospital, Glendale Heights, IL, CCN 140292
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036114200ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
Adventist Health Partners, Inc CurrentSince Jan 1, 2007 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Midwest Health Past Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients
Adventist Midwest Health Family Medicine Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

908 N Elm St
Ste 207
Hinsdale, IL 60521
Phone (312) 323-1558

333 W Chestnut St
Ste 105
Hinsdale, IL 60521
Phone (630) 789-0250

908 N Elm St
Ste 202
Hinsdale, IL 60521
Phone (630) 856-8640

Interoperability endpoints

  • Direct secure messaging: smauch1240756@adventhealth.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1194892232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 202",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213637",
            "telephone_number": "630-861-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 202",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213637",
            "telephone_number": "630-861-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCH",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036114200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.muach.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "908 N Elm St",
            "address_2": "STE 207",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.muach.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "908 N Elm St Ste 202",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.