Maximina Boutselis, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME110153 Issued in FL

Practice address

20 Follinsbee LN
West Newbury, MA 01985-4201

Phone

(978) 761-4606

NPI assigned

Jul 1, 2006

Last updated

Aug 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA, IN, PA, OH, NJ, TN, NY, FL, AZ, IL, CO, MI12 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 12

Specialty

Diagnostic Radiology

Education

University of Connecticut School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Monongahela Valley Hospital IncGroup PAC ID 0143117606, 41 clinicians

Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians

Distinguished Diagnostic Imaging PCGroup PAC ID 9739079906, 4 clinicians

Ali M Gharagozloo MD PCGroup PAC ID 0446228472, 7 clinicians

St Lawrence Radiology Assoc PCGroup PAC ID 2264421122, 25 clinicians

Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Imaging Consultants of Central Illinois SCGroup PAC ID 6800275900, 12 clinicians

Regional Imaging AssociatesGroup PAC ID 7113372236, 22 clinicians

Olean Radiology, PCGroup PAC ID 9133118862, 16 clinicians

Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Health Diagnostics of California a Professional CorporationGroup PAC ID 4284621525, 176 clinicians

Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Community Medical Imaging IncGroup PAC ID 7810211067, 4 clinicians

Schuyler County Hospital DistrictGroup PAC ID 9638076474, 46 clinicians

Holmes County Hospital CorpGroup PAC ID 3375557887, 21 clinicians

Third Avenue Imaging LLCGroup PAC ID 2769750124, 4 clinicians

Rightcare Clinic PCGroup PAC ID 3779920806, 13 clinicians

Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Navajo Health Foundation-Sage Memorial Hospital, Inc.Group PAC ID 2163332347, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
• Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
• Lehigh Valley Hospital - Macungie Hospital, Macungie, PA, CCN 390430
• Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338
• Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
• Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
• Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
• Lehigh Valley Hospital - Macungie Hospital, Macungie, PA, CCN 390430
• Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338
• Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (60 of 105)

Locations (25 of 162)

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: maximina.boutselis.1@21123.direct.athenahealth.com
• Direct secure messaging: maximina.boutselis@direct.hobokenumc.md

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.

• Ali M Gharagozloo MD PC

  dba Diagnostic & Interventional Radiology, PC

  • Diagnostic Radiology Physician
  • Ogdensburg, NY
  • NPI 1831182633

  MA

  Medicare reassignment Care Compare group NPD
• Community Medical Imaging Inc

  • Diagnostic Radiology Physician
  • Sullivan, IN
  • NPI 1891193314
  Medicare reassignment Care Compare group NPD
• Distinguished Diagnostic Imaging P.C.

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1306061890
  Medicare reassignment Care Compare group NPD
• Dubois Regional Medical Center

  dba Penn Highlands Dubois Radiology/Radiation Oncology

  • Diagnostic Radiology Physician
  • Du Bois, PA
  • NPI 1093812406
  Medicare reassignment Care Compare group NPD
• Health Diagnostics of California a Professional Corporation

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • Mountain View, CA
  • NPI 1104321959

  MA

  Medicare reassignment Care Compare group NPD
• Holmes County Hospital Corp

  dba Doctors Memorial Hospital

  • Critical Access Hospital
  • Bonifay, FL
  • NPI 1366431702
  Medicare reassignment Care Compare group NPD
• Lenox Hill Radiology & Medical Imaging Associates, PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1821036807

  MA

  Medicare reassignment Care Compare group NPD
• Monongahela Valley Hospital Inc

  • Certified Registered Nurse Anesthetist
  • Monongahela, PA
  • NPI 1689708570
  Medicare reassignment Care Compare group NPD
• Navajo Health Foundation-Sage Memorial Hospital, Inc.

  dba Sage Memorial Physicians

  • Rural Acute Care Hospital
  • Ganado, AZ
  • NPI 1477735777
  Medicare reassignment Care Compare group NPD
• Olean Radiology, PC

  • Diagnostic Radiology Physician
  • Olean, NY
  • NPI 1700829850

  MA

  Medicare reassignment Care Compare group NPD
• Regional Imaging Associates

  • Diagnostic Radiology Physician
  • Seaman, OH
  • NPI 1346027976

  MA

  Medicare reassignment Care Compare group NPD
• Rightcare Clinic PC

  • Specialist
  • Grand Rapids, MI
  • NPI 1972372142
  Medicare reassignment Care Compare group NPD

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

• CHP-LVHN JV, LLC

  dba Lehigh Valley Hospital Gilbertsville

  • General Acute Care Hospital
  • Gilbertsville, PA
  • NPI 1588438956
  Care Compare affiliation
• CHP-LVHN JV, LLC

  dba Lehigh Valley Hospital Macungie

  • General Acute Care Hospital
  • Macungie, PA
  • NPI 1659150514
  Care Compare affiliation
• Lehigh Valley Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1164400131
  Care Compare affiliation
• Lehigh Valley Hospital

  • Clinic/Center
  • Allentown, PA
  • NPI 1194673467

  Hospital

  Care Compare affiliation
• Lehigh Valley Hospital

  • Clinic/Center
  • Allentown, PA
  • NPI 1528627155

  Hospital

  Care Compare affiliation
• Lehigh Valley Hospital

  • Psychiatric Hospital Unit
  • Bethlehem, PA
  • NPI 1609834001
  Care Compare affiliation
• Lehigh Valley Hospital

  • Children's Hospital
  • Allentown, PA
  • NPI 1952954307
  Care Compare affiliation
• Lehigh Valley Hospital - Schuylkill

  dba Lehigh Valley Hospital Schuylkill S Jackson Street

  • Rural Acute Care Hospital
  • Pottsville, PA
  • NPI 1235138405
  Care Compare affiliation
• Lehigh Valley Hospital Pocono

  • General Acute Care Hospital
  • East Stroudsburg, PA
  • NPI 1568459436
  Care Compare affiliation
• Lehigh Valley Hospital- Pocono

  dba Lehigh Valley Hospital - Dickson City

  • General Acute Care Hospital
  • Dickson City, PA
  • NPI 1396402053
  Care Compare affiliation
• Schuylkill Medical Center - East Norweigan Street

  • General Acute Care Hospital
  • Pottsville, PA
  • NPI 1427050376
  Care Compare affiliation

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1013946094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NORTHERN BLVD",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504409",
            "telephone_number": "978-761-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FOLLINSBEE LN",
            "city": "WEST NEWBURY",
            "state": "MA",
            "postal_code": "019854201",
            "telephone_number": "978-761-4606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Old Gatesburg Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032276",
            "country_code": "US",
            "telephone_number": "814-278-3280",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "457 Lake Cook Rd",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "IL",
            "postal_code": "600155202",
            "country_code": "US",
            "telephone_number": "847-291-9321",
            "fax_number": "847-291-9362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3838 N Main St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465453100",
            "country_code": "US",
            "telephone_number": "574-257-4674",
            "fax_number": "574-257-0549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1014 Oswegatchie Trail Rd",
            "address_purpose": "LOCATION",
            "city": "Star Lake",
            "state": "NY",
            "postal_code": "136903143",
            "country_code": "US",
            "telephone_number": "315-848-3351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-248-5300",
            "fax_number": "573-248-5302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 W 177th St Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Hazel Crest",
            "state": "IL",
            "postal_code": "604292185",
            "country_code": "US",
            "telephone_number": "708-799-4940",
            "fax_number": "708-799-0641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-248-5300",
            "fax_number": "573-248-5302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000 x6764",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUTSELIS",
        "first_name": "MAXIMINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "260855",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "156198",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME110153",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036139315",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD443290",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2011014305",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01069437A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "156198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101290",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04916809",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200844",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Barry
• Lisa Pelletier Beaulieu
• Sherri Geraldine Bisci, LICSW
• Andrea Blodgett
• Chhann Boucher
• Pilar Bescos Brackett, M.S.
• Heather Brankman, LICSW
• Kathryn Elizabeth Brett, CCLS, CEIS
• Erica Ina Brown, OTR/L
• Katlyn Anne Brown

• Diagnostic Radiology Physician in West Newbury, MA
• Providers in West Newbury, MA by specialty
• Diagnostic Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.