Matthew Stiles Bowdish, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A92192 Issued in CA

Practice address

1528 Eureka Rd Ste 102
Roseville, CA 95661-3047

Phone

(916) 736-6644

Fax

(916) 774-0143

NPI assigned

Dec 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Matthew Stiles McDonald Former name

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Allergy/Immunology

Education

Northeastern Ohio University College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sacramento Ear Nose and Throat Surgical and Medical Group IncGroup PAC ID 6204905342, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Merit-based Incentive Payment System (MIPS)

Final score

75.06 of 100Reported as group

Quality

83.97

Promoting interoperability

88

Improvement activities

40

Cost

42.89

Merit-based Incentive Payment System (MIPS)

Final score

74.25 of 100Reported as group

Quality

51.19

Promoting interoperability

94

Improvement activities

40

Cost

61.73

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbowdish361219@hisp.ehr.sutterhealth.org

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.

• Sacramento Ear Nose & Throat Surgical & Medical Group Inc

  • Otolaryngology Physician
  • Sacramento, CA
  • NPI 1497758155

  Allergy & Immunology

  Medicare reassignment Care Compare group NPD
• Sutter North Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)

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

• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1770767923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 EUREKA RD STE 102",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613047",
            "telephone_number": "916-736-6644",
            "fax_number": "916-774-0143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "785 Hana Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303885",
            "country_code": "US",
            "telephone_number": "916-736-6644",
            "fax_number": "916-774-0143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 Mercy Ct Ste 180B",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956283198",
            "country_code": "US",
            "telephone_number": "916-736-6644",
            "fax_number": "916-774-0143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Exposition Blvd Bldg 700",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958154314",
            "country_code": "US",
            "telephone_number": "916-736-3399 x1125",
            "fax_number": "916-736-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWDISH",
        "first_name": "MATTHEW",
        "middle_name": "STILES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "044700",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A92192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100090065",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA229333",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "MCDONALD",
            "middle_name": "STILES",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Makayla J Bouchard
• Vicky V Bourdaniotis, RD
• Jeremy James Bouris
• Courtney Jayde Bournstein
• Brooke Nicole Bousquet
• Judith Bowen, RN
• Polly Bowser
• Tori Boyd
• Christopher Paul Boyer
• Oscar Boyerman

• Allergy & Immunology Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.