Individual provider Active NPI

Elena Grammatikakis, PA

  • Physician Assistant
  • Rochdale, MA
National Provider Identifier
1508848896
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1920 Issued in MA
Practice address
111 Huntoon Memorial Hwy
Innovative Physician Services LLC
Rochdale, MA 01542-1305
Phone
(508) 892-6000
Fax
(508) 892-6001
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1920 MA Primary

Addresses

Primary practice location

111 Huntoon Memorial Hwy
Innovative Physician Services LLC
Rochdale, MA 01542-1305

Mailing address

PO Box 391
Innovative Physician Services LLC
Wilbraham, MA 01095-0391
Phone (508) 595-0531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000986 MA Practitioner - Physician Assistant 6608895198 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Incare LLCGroup PAC ID 1153658851, 62 clinicians
Incare Tufts PLLCGroup PAC ID 3072013192, 49 clinicians
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

140 Lincoln Ave
Haverhill, MA 01830-6700
Phone (781) 600-7599

145 Ward Hill Ave
Haverhill, MA 01835-6928
Phone (978) 372-8000

1801 Turnpike St
North Andover, MA 01845-6322
Phone (978) 688-1212

184 Main St
Fairhaven, MA 02719-3259
Phone (508) 997-3193

565 Turnpike St
Suite 85
North Andover, MA 01845-5936
Phone (978) 687-2247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1920MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince Apr 29, 2024 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

89 Morton St
Andover, MA 01810
Phone (978) 475-0944

75 Francis St
Boston, MA 02115

184 Main St
Fairhaven, MA 02719
Phone (508) 742-3737

800 Essex St
Lawrence, MA 01841
Phone (781) 826-2393

1801 Turnpike St
North Andover, MA 01845
Phone (978) 454-8086

134 North St
North Reading, MA 01864
Phone (879) 276-2000

Interoperability endpoints

  • Direct secure messaging: grammatikakis.elena.bwh@direct.partners.masshiway.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508848896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "address_2": "INNOVATIVE PHYSICIAN SERVICES LLC",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010950391",
            "telephone_number": "508-595-0531",
            "fax_number": "508-829-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HUNTOON MEMORIAL HWY",
            "address_2": "INNOVATIVE PHYSICIAN SERVICES LLC",
            "city": "ROCHDALE",
            "state": "MA",
            "postal_code": "015421305",
            "telephone_number": "508-892-6000",
            "fax_number": "508-892-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMMATIKAKIS",
        "first_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochdale, MA

Sources for this page

Verify at the official NPI Registry.