Active NPI
Mathew Lee Boutilier
- Paramedic
- Bedford, MA
National Provider Identifier
1114817699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- P0903004
- Practice address
- 150 Hanscom Dr
Bedford, MA 01730-2630 - Phone
- (781) 863-2213
- NPI assigned
- Jul 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | P0903004 | MA | Primary |
Addresses
Primary practice location
150 Hanscom Dr
Bedford, MA 01730-2630
Mailing address
150 Hanscom Dr
Bedford, MA 01730-2630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0903004 | MA | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Life Flight, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Air Ambulance
- Bedford, MA
- NPI 1801903927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1114817699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 HANSCOM DR",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017302630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 HANSCOM DR",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017302630",
"telephone_number": "781-863-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUTILIER",
"first_name": "MATHEW",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "MA",
"license": "P0903004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.