DR. MATTHEW BOUTELLE DO
NPI 1679403489
Emergency Medicine in Farmington Hills, MI
About Dr. Matthew Boutelle Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MATTHEW BOUTELLE DO (NPI 1679403489) is an individual emergency medicine provider in Farmington Hills, Michigan, licensed in Michigan (5151017992) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Boutelle Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FARMINGTON HILLS, MI 48336
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 Boutelle's NPI number?
The NPI number for Matthew Boutelle is 1679403489. It was assigned to this individual provider in the NPPES registry on May 22, 2026.
Where is Matthew Boutelle located?
Matthew Boutelle practices at 28050 Grand River Ave, Farmington Hills, MI 48336. The listed phone number is (947) 521-8000.
What is Matthew Boutelle's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Matthew Boutelle enrolled in Medicare?
Yes. Matthew Boutelle is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Matthew Boutelle was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.