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

Jessica Lacy Yasuda, MD

Individual provider Pediatric Gastroenterology Physician · NPI 1356768816

Jessica Lacy Yasuda, MD is a Gastroenterology in Boston, Massachusetts. Graduated from Harvard Medical School in 2014, 12 years ago. Practices with Children's Hospital Pediatric Associates, Inc, a 336-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
12
Trained at
Harvard Medical School
Licensed in
MA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-8241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 269784 (MA)

Record details

NPI number1356768816
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2014
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Children'S Hospital Pediatric Associates, Inc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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