Active NPIIndividual provider

Maximina Boutselis, MD

Radiology, Diagnostic Radiology in West Newbury, Massachusetts

NPI Number1013946094
Practice location
20 Follinsbee Ln, West Newbury, MA 01985-4201
Fax
—
Last updated
August 28, 2026

Maximina Boutselis is a Radiology, Diagnostic Radiology based in West Newbury, MA. Maximina Boutselis practices in West Newbury, MA and has the professional credentials of MD. The NPI Number for Maximina Boutselis is 1013946094 and holds a License No. 260855 (NY). The current practice location address for Maximina Boutselis is 20 Follinsbee Ln, West Newbury, MA 01985-4201 and can be reached out via phone at 978-761-4606.

Provider Profile Details

NPI Number
1013946094
Provider Name
Maximina Boutselis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
20 Follinsbee Ln, West Newbury, MA 01985-4201
Phone Number
978-761-4606
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
July 1, 2006
Last Update Date
August 28, 2026
Certification Date
August 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Follinsbee Ln
West Newbury, MA 01985-4201
Zip
01985-4201
Phone Number
978-761-4606
West Newbury, MA 01985Get directions →

Provider Business Mailing Address Details

Address
216 Northern Blvd
Newburyport, MA 01950-4409
City
Newburyport
State
MA
Zip
01950-4409
Phone Number
978-761-4606

License Information

License Number (1)
260855
License State (1)
NY
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (2)
156198
License State (2)
MA
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (3)
ME110153
License State (3)
FL
Taxonomy (3)
Radiology, Diagnostic Radiology · 2085R0202X · Primary
License Number (4)
036139315
License State (4)
IL
Taxonomy (4)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (5)
MD443290
License State (5)
PA
Taxonomy (5)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (6)
2011014305
License State (6)
MO
Taxonomy (6)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (7)
01069437A
License State (7)
IN
Taxonomy (7)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (8)
156198
License State (8)
MA
Taxonomy (8)
General Practice · 208D00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maximina Boutselis, MD?

The NPI number of Maximina Boutselis, MD is 1013946094. It was assigned on July 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Maximina Boutselis, MD?

Maximina Boutselis, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NY under license number 260855.

Where does Maximina Boutselis, MD practice?

The practice location is 20 Follinsbee Ln, West Newbury, MA 01985-4201. The office can be reached at 978-761-4606 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013946094 directly on the NPPES registry website.

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