Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MATTHEW E. BOUCEK MD
NPI 1245792209
Pediatrics - Pediatric Cardiology in Nashville, TN

Active since April 01, 2019PECOS Enrolled
1301 MEDICAL CENTER DR, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 27, 2026, Apr 1, 2019 (2 updates tracked since 2019).

About Dr. Matthew E. Boucek Md NPPES

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

DR. MATTHEW E. BOUCEK MD (NPI 1245792209) is an individual pediatric cardiology provider in Nashville, Tennessee, licensed in Tennessee (246962) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245792209
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. MATTHEW E. BOUCEKCredential: MD
Location Address1301 MEDICAL CENTER DRNashville, TN 37232-0028
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 322-3000
Sole ProprietorNo
Enumeration DateApril 1, 2019
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
NPI 1245792209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses Licensed in TN · 246962 Licensed in UT · 12762223-1205
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1301 MEDICAL CENTER DR, Nashville, TN 37232

Secondary Practice Locations 2

Location 11005 Joe DiMaggio DrHollywood, FL 33021-5402 · Phone (954) 265-4461
Location 281 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · Phone (801) 662-5703

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Matthew E. Boucek Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Podiatrist
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Nurse Practitioner (Gerontology)
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Internal Medicine (Nephrology)
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Pediatrics (Neonatal-Perinatal Medicine)
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Psychiatry & Neurology (Psychiatry)
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Speech-Language Pathologist
1301 MEDICAL CENTER DR
NASHVILLE, TN 37232
Anesthesiology
1301 MEDICAL CENTER DR, 4648 TVC
NASHVILLE, TN 37232

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 Matthew Boucek's NPI number?

The NPI number for Matthew Boucek is 1245792209. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Matthew Boucek located?

Matthew Boucek practices at 1301 Medical Center Dr, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Matthew Boucek's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Matthew Boucek enrolled in Medicare?

Yes. Matthew Boucek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Boucek was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.