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

Jack Sarkisian

Individual provider Physician Assistant · NPI 1205524709

Jack Sarkisian is a Physician Assistant in Boston, Massachusetts. Qualified in 2023, 3 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (330) 245-6979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA100320 (MA)

Record details

NPI number1205524709
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 24, 2023
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024
Mailing address827 E Broadway Apt C, Boston, MA 02127-2393

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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