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

Maximina Boutselis, MD

Individual provider Diagnostic Radiology Physician · NPI 1013946094

Maximina Boutselis, MD is a Diagnostic Radiology in West Newbury, Massachusetts. Graduated from University of Connecticut School of Medicine in 1995, 31 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 9 locations and accepts Medicare assignment. Licensed in Florida, Illinois, Massachusetts and Missouri and 2 more.

Years since qualifying
31
Trained at
University of Connecticut School of Medicine
Licensed in
FL, IL, MA, MO, NY, PA
In the registry since
2006
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

20 Follinsbee Ln
West Newbury, MA 01985-4201
Phone: (978) 761-4606
Show map & directions

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

Additional practice locations (8)

  • 457 Lake Cook Rd, Deerfield, IL 60015-5202 — (847) 291-9321
  • 3330 W 177th St Ste 1d, Hazel Crest, IL 60429-2185 — (708) 799-4940
  • 6000 Hospital Dr, Hannibal, MO 63401-6887 — (573) 248-5300
  • 6000 Hospital Dr, Hannibal, MO 63401-6887 — (573) 248-5300
  • 1014 Oswegatchie Trail Rd, Star Lake, NY 13690-3143 — (315) 848-3351
  • 1250 S Cedar Crest Blvd, Allentown, PA 18103-6224 — (610) 402-8900
  • 1700 Old Gatesburg Rd Ste 100, State College, PA 16803-2276 — (814) 278-3280
  • 1800 E Park Ave, State College, PA 16803-6701 — (814) 231-7000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME110153 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 260855 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 156198 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036139315 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD443290 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2011014305 (MO)
General Practice Physician Taxonomy 208D00000X · Licence 156198 (MA)

Record details

NPI number1013946094
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2006
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address216 Northern Blvd, Newburyport, MA 01950-4409

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations74 on file with Medicare