Tom Jaksic, MD, PHD
Tom Jaksic, MD, PHD is a Pediatric Surgery Physician in Boston, MA, registered under NPI 1972538379. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 300 LONGWOOD AVE FEGAN 3, Boston, MA 02115. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 51940 | MA | Pediatric Surgery Physician primary |
| 51940 | MA | Surgery Physician |
| 51940 | MA | Surgical Critical Care Physician |
This provider holds licence 51940 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - General Surgery
- PAC ID
- 3678749678
- Enrollment ID
- I20111221000618
Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatric Surgery covers
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. NUCC Health Care Provider Taxonomy, code 2086S0120X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2086S0120X | Pediatric Surgery Physician Pediatric Surgery | 51940 | MA | primary |
| 208600000X | Surgery Physician | 51940 | MA | |
| 2086S0102X | Surgical Critical Care Physician Surgical Critical Care | 51940 | MA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1972538379 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 12, 2006 |
| Last updated | Feb 23, 2022 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD, PHD |
| Practice address |
300 LONGWOOD AVE FEGAN 3 Boston, MA 02115 (617) 355-9600 Fax (617) 730-0477 |
| Mailing address |
45 TEMPLE ST UNIT 510 Boston, MA 02114 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 7 | 2 | 5 | 3 | 8 | 3 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 5 | 2 | 1 | 3 | 7 | 3 | 5 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.