Individual provider Active NPI

Matthew E Bohm, MD

  • Family Medicine Physician
  • Topeka, KS
National Provider Identifier
1912966979
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-26351 Issued in KS
Practice address
901 SW Garfield Ave
Topeka, KS 66606-1670
Phone
(785) 354-9591
Fax
(785) 368-0707
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-26351 KS Primary

Addresses

Primary practice location

901 SW Garfield Ave
Topeka, KS 66606-1670

Mailing address

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

Other identifiers 2

IdentifierTypeStateIssuer
100190260AMedicaidKS
067125OtherKSMEDICARE PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mbohm2138@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address mbohm2138@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20100504000221 KS Practitioner - Family Practice 9739217233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cotton-O'Neil Clinic Revocable TrustGroup PAC ID 5496659195, 659 clinicians

Practice addresses (Care Compare)

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Topeka, KS, CCN 178069
  • Phoenix Home Care Home health agency, Overland Park, KS, CCN 178077
  • Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086
  • University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions17
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-26351KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust Family Medicine CurrentSince Aug 1, 1996 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Aug 1, 1996 Accepting new patients
Washburn University of Topeka Family Medicine Past Accepting new patients

Locations

901 SW Garfield Ave
Fl 1
Topeka, KS 66606

901 SW Garfield Ave
Topeka, KS 66606

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

Interoperability endpoints

  • Direct secure messaging: mbohm2138@stormontvaildirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1912966979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SW GARFIELD AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061670",
            "telephone_number": "785-354-9591",
            "fax_number": "785-368-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SW GARFIELD AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061670",
            "telephone_number": "785-354-9591",
            "fax_number": "785-368-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHM",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-26351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100190260A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "067125",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbohm2138@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "901 SW Garfield Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbohm2138@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "901 SW Garfield Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.