Individual Healthcare Provider
Maximina Boutselis, M.D.
Provider's NPPES record last updated: August 28, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1013946094
- Primary Specialty
- Radiology — Diagnostic Radiology
- Practice Location
- West Newbury, Massachusetts
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 8:50 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Radiology
Diagnostic Radiology
Allopathic & Osteopathic Physicians
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Taxonomy code 2085R0202X General Practice
Allopathic & Osteopathic Physicians
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Taxonomy code 208D00000X
Provider-Reported License Information
- Radiology (Florida)
- ME110153
- Radiology (New York)
- 260855
- Radiology (Massachusetts)
- 156198
- Radiology (Illinois)
- 036139315
- Radiology (Pennsylvania)
- MD443290
- Radiology (Missouri)
- 2011014305
- Radiology (Indiana)
- 01069437A
- General Practice (Massachusetts)
- 156198
Practice Locations
Practice Location
20 Follinsbee Ln
West Newbury, Massachusetts 01985-4201
Phone: (978) 761-4606
Additional Practice Location
457 Lake Cook Rd
Deerfield, Illinois 60015-5202
Phone: (847) 291-9321
Fax: (847) 291-9362
Additional Practice Location
3838 N Main St Ste 1a
Mishawaka, Indiana 46545-3100
Phone: (574) 257-4674
Fax: (574) 257-0549
Additional Practice Location
6000 Hospital Dr
Hannibal, Missouri 63401-6887
Phone: (573) 248-5300
Fax: (573) 248-5302
Additional Practice Location
1800 E Park Ave
State College, Pennsylvania 16803-6701
Phone: (814) 231-7000
Fax: (814) 231-7098
Additional Practice Location
1250 S Cedar Crest Blvd
Allentown, Pennsylvania 18103-6224
Phone: (610) 402-8900
Additional Practice Location
1700 Old Gatesburg Rd Ste 100
State College, Pennsylvania 16803-2276
Phone: (814) 278-3280
Fax: (814) 231-7098
Additional Practice Location
1014 Oswegatchie Trail Rd
Star Lake, New York 13690-3143
Phone: (315) 848-3351
Additional Practice Location
3330 W 177th St Ste 1d
Hazel Crest, Illinois 60429-2185
Phone: (708) 799-4940
Fax: (708) 799-0641
Additional Practice Location
6000 Hospital Dr
Hannibal, Missouri 63401-6887
Phone: (573) 248-5300
Fax: (573) 248-5302
Record Information
- Enumeration Date
- July 1, 2006
- Provider's NPPES Record Last Updated
- August 28, 2026
- Certification Date
- August 28, 2026
- NPISignal NPPES Dataset
- August 2026
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