DR. MATTHEW E. BOUCEK MD
NPI 1245792209
Pediatrics - Pediatric Cardiology in Salt Lake City, UT
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 Salt Lake City, Utah, licensed in Utah (12762223-1205) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hollywood.
NPPES Registry Identity
Specialties & Licenses
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.
Secondary Practice Location 1
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).
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.
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
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 81 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5703.
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 March 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
