MATTHEW ADEL BOUTROS DO
NPI 1245768787
Internal Medicine in Sacramento, CA

Q: What is Matthew Boutros's NPI number?

The NPI number for Matthew Boutros is 1245768787. It was assigned to this individual provider in the NPPES registry on May 29, 2017.

Q: What is Matthew Boutros's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Boutros was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since May 29, 2017PECOS EnrolledAccepts Medicare Assignment

1500 21ST ST, SACRAMENTO, CA 95811(916) 433-3299 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, Jun 12, 2020, Aug 22, 2018 and 1 more (4 updates tracked since 2017).

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About Matthew Adel Boutros Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW ADEL BOUTROS DO (NPI 1245768787) is an individual internal medicine provider in Sacramento, California, licensed in California (20A16673) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245768787

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMATTHEW ADEL BOUTROSCredential: DO

Location Address1500 21ST STSacramento, CA 95811-5216

Mailing Address1500 21st StSacramento, CA 95811-5216 · (916) 433-3299

Phone(916) 433-3299

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 29, 2017

Last NPPES UpdateMay 7, 20244 updates tracked since enumeration

NPPES CertifiedJune 12, 2020

✔ NPI 1245768787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 20A16673

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1500 21ST ST, Sacramento, CA 95811

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Adel Boutros Do 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.

PECOS PAC ID6002229713

PECOS Enrollment IDI20240426003164

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95811 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SUSAN HOPE DUNDAS PA-C

Physician Assistant