Matthew Boucek, MD
NPI 1245792209 · Pediatric Cardiology Physician · Salt Lake City, UT
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Boucek, MD is a Pediatric Cardiology Physician provider in Salt Lake City, UT (NPI 1245792209).
Provider details
- NPI number
- 1245792209
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 12762223-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
7 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$121 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1005 Joe Dimaggio DrHollywood, FL 33021-5402Phone: (954) 265-4461
Registry dates
- Enumerated
- 2019-04-01
- Last updated
- 2022-03-30
- Certified
- 2022-03-30
Frequently asked questions
- What is Matthew Boucek's NPI number?
- Matthew Boucek's National Provider Identifier (NPI) is 1245792209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Boucek's specialty?
- Matthew Boucek is listed in the NPPES registry with a primary specialty of Pediatric Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Boucek located?
- Matthew Boucek's practice location on file with NPPES is 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125.
- What is Matthew Boucek's phone number?
- The practice phone number listed in the NPPES registry for Matthew Boucek is (801) 662-5703.
- Does Matthew Boucek accept Medicare?
- Matthew Boucek is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Boucek's NPI active?
- Yes — Matthew Boucek's NPI (1245792209) is active in the NPPES registry as of the last update on 2022-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.