Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Boutorwick, DO

Individual provider Emergency Medicine Physician · NPI 1144631292

Matthew Boutorwick, DO is an Emergency Medicine in Madison Heights, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2014, 12 years ago. Practices with Independent Observation Physicians PLLC, a 136-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone: (248) 967-7795
Fax: (248) 967-7794
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101020999 (MI)

Record details

NPI number1144631292
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 12, 2014
Last updated in NPPESMay 12, 2014
Mailing address27351 Dequindre Rd, Madison Heights, MI 48071-3487

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Independent Observation Physicians Pllc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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