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

Irini E Maradianos

Individual provider Physician Assistant · NPI 1407633654

Irini E Maradianos is a Physician Assistant in Medford, Massachusetts. Qualified in 2021, 5 years ago. Practices with Beth Israel Lahey Health Primary Care, Inc, a 353-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2023

Practice location Address checks out

75 Riverside Ave Ste 2
Medford, MA 02155-4600
Phone: (781) 306-0200
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1407633654
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing address75 Riverside Ave Ste 2, Medford, MA 02155-4600

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Beth Israel Lahey Health Primary Care, Inc — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Medford