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

Dr. Tom Jaksic, MD, PHD

Individual provider Surgery Physician · NPI 1972538379

Dr. Tom Jaksic, MD, PHD is a General Surgery in Boston, Massachusetts. Qualified in 1981, 45 years ago. Practices with Chmc Surgical Foundation Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
45
Licensed in
MA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

300 Longwood Ave Fegan 3
Boston, MA 02115-5724
Phone: (617) 355-9600
Fax: (617) 730-0477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 51940 (MA)
Surgery Physician Taxonomy 208600000X · Licence 51940 (MA)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 51940 (MA)

Record details

NPI number1972538379
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address45 Temple St Unit 510, Boston, MA 02114-4273

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Chmc Surgical Foundation Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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