Individual provider Active NPI

Matthew Boylan, MD

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1215161344
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
125055803 Issued in IL
Practice address
7435 W Talcott Ave
Resurrection Emergency Medicine Residency Program
Chicago, IL 60631-3707
Phone
(773) 792-7921
NPI assigned
May 4, 2009
Last updated
May 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125055803 IL Primary

Addresses

Primary practice location

7435 W Talcott Ave
Resurrection Emergency Medicine Residency Program
Chicago, IL 60631-3707

Mailing address

7435 W Talcott Ave
Resurrection Emergency Medicine Residency Program
Chicago, IL 60631-3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150213001371 TX Practitioner - Emergency Medicine 3971753450 Reassigns benefits to 1 organization
I20220406001654 MO Practitioner - Emergency Medicine 3971753450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Creighton University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians

Practice addresses (Care Compare)

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 747-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125055803ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Mo, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Western Missouri Medical Center CurrentSince Sep 4, 2025 Accepting new patients
Western Missouri Medical Center CurrentSince Sep 4, 2025 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Jan 24, 2026 Accepting new patients
Midwest Division - LRHC LLC CurrentSince Oct 1, 2022 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Jan 24, 2026 Accepting new patients
Ihc-Swedishamerican Emergency Physicians, LLC Emergency Medicine PastSince Dec 15, 2019 Accepting new patients
Ihc-St. Francis Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

6601 Rockhill Rd
Kansas City, MO 64131
Phone (816) 276-7000

6675 Holmes Rd
Kansas City, MO 64131
Phone (816) 276-7000

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Interoperability endpoints

  • Direct secure messaging: matthew.boylan@hca2.eclinicaldirectplus.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1215161344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 W TALCOTT AVE",
            "address_2": "RESURRECTION EMERGENCY MEDICINE RESIDENCY PROGRAM",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 W TALCOTT AVE",
            "address_2": "RESURRECTION EMERGENCY MEDICINE RESIDENCY PROGRAM",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313707",
            "telephone_number": "773-792-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125055803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.