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

MS. Lissette Jimenez, MD

Individual provider Pediatrics Physician · NPI 1184980864

MS. Lissette Jimenez, MD is a Gastroenterology in Boston, Massachusetts. Graduated from University of Washington School of Medicine in 2012, 14 years ago. Practices with Children's Hospital Pediatric Associates, Inc, a 336-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Washington.

Years since qualifying
14
Trained at
University of Washington School of Medicine
Licensed in
MA, WA
In the registry since
2012
Specialties on file
2
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) 355-6000
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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 264920 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence ML60292804 (WA)

Record details

NPI number1184980864
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2012
Last updated in NPPESJune 14, 2018

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2012 (14 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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