Matthew Stephen Booher, MD
Individual provider Active NPI Emergency Medicine Physician · Hartford City, IN
NPI 1154989929 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1154989929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01087572A (IN)
- Practice address
- 410 Pilgrim Blvd
Hartford City, IN 47348-1382 - Phone
- (765) 348-0300
- Fax
- (317) 963-5492
- NPI assigned
- Jun 5, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health North Hospital
- Indiana University Health
- Indiana University Health Jay, Inc.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220606000868 | IN | Practitioner - Emergency Medicine | 6103159777 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01087572A | IN | MD | Emergency Medicine Physician |
| 4351045260 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current |
Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01087572A | IN | Yes |
| Emergency Medicine Physician | 207P00000X | 4351045260 | MI |
Addresses
Primary practice location
410 Pilgrim Blvd
Hartford City, IN 47348-1382
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-2001
Other practice location 2
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300062202 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbooher@direct.iuhealth.org | Direct | |
| Direct Messaging Address | mbooher@direct.iuhealth.org | Direct |
Other providers in Hartford City, IN
- Danny L Ahrens
- Americare Living Center of Hartford City
- Daniel E Ashley
- Blackford County Auditor
- Blackford County Schools
- Helen A Borgenheimer
- Alexis Bubp
- C&C Healthcare and Wellness
- Cardinal Health Partners, LLC
- Gerald Thomas Carlson Jr.
All providers in Hartford City, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.