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JILL M ZALIECKAS M.D.
NPI 1174794556
Surgery - Pediatric Surgery in Boston, MA

Active since March 13, 2008PECOS Enrolled
300 LONGWOOD AVE, FEGAN 3, BOSTON, MA 02115(617) 355-1838(617) 730-0477 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jill M Zalieckas M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL M ZALIECKAS M.D. (NPI 1174794556) is an individual pediatric surgery provider in Boston, Massachusetts, licensed in Massachusetts (249191) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1174794556
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameJILL M ZALIECKASCredential: M.D.
Location Address300 LONGWOOD AVE, FEGAN 3Boston, MA 02115-5724
Mailing Address300 Longwood Ave, Fegan 3Boston, MA 02115-5724 · (617) 355-1838 · Fax (617) 730-0477
Phone(617) 355-1838
Fax(617) 730-0477
Sole ProprietorNo
Enumeration DateMarch 13, 2008
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1174794556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in MA · 249191
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 249191 (MA)
300 LONGWOOD AVE, Boston, MA 02115
Open in Google Maps ↗

Secondary Practice Location 1

Location 1725 Albany Street, 8CBoston, MA 02118 · Phone (617) 414-5131 · Fax (617) 414-3806

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill M Zalieckas M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jill Zalieckas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chmc Anesthesia Foundation Inc
Same address
Pediatric Anesthesiology
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 256 clinicians in this Medicare group
NPI 1831268754 (617) 919-1340
Chmc Surgical Foundation Inc
Same address
Pediatric Surgery
300 LONGWOOD AVE, FEGAN 3
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 109 clinicians in this Medicare group
NPI 1902977515 (617) 355-8326

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MRS. LAUREN ASHLEY SHARIS P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Zalieckas's NPI number?

The NPI number for Jill Zalieckas is 1174794556. It was assigned to this individual provider in the NPPES registry on March 13, 2008.

Where is Jill Zalieckas located?

Jill Zalieckas practices at 300 Longwood Ave Fegan 3, Boston, MA 02115. The listed phone number is (617) 355-1838.

What is Jill Zalieckas's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Jill Zalieckas enrolled in Medicare?

Yes. Jill Zalieckas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jill Zalieckas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Zalieckas reassigns Medicare benefits to 2 organizations: Chmc Anesthesia Foundation Inc (Boston, MA) and Chmc Surgical Foundation Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jill Zalieckas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jill Zalieckas accept?

Health plans from Anthem Blue Cross and Blue Shield list Jill Zalieckas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jill Zalieckas was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.