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JONATHAN PAUL BERRY M.D.
NPI 1194119115
Pediatrics - Pediatric Emergency Medicine in Tacoma, WA

Active since March 27, 2015PECOS Enrolled
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 596-3300(253) 596-3301 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2021, Mar 31, 2020, Aug 16, 2018 (3 updates tracked since 2018).

About Jonathan Paul Berry M.d. NPPES

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

JONATHAN PAUL BERRY M.D. (NPI 1194119115) is an individual pediatric emergency medicine provider in Tacoma, Washington, licensed in Washington (MD60847137) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194119115
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameJONATHAN PAUL BERRYCredential: M.D.
Location Address209 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4265
Mailing Address209 Martin Luther King Jr WayTacoma, WA 98405-4265 · (253) 596-3300 · Fax (253) 596-3301
Phone(253) 596-3300
Fax(253) 596-3301
Sole ProprietorNo
Enumeration DateMarch 27, 2015
Last NPPES UpdateMay 18, 20213 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1194119115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in WA · MD60847137
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License ML60562628 (WA)
209 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Paul Berry 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.

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.

DR. KRISTINA SIU PETSAS M.D.
Family Medicine
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
ALEXANDRA CORNWALL PA-C
Physician Assistant
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
MRS. ANNE GARCES LAPORTE D.O.
Family Medicine
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
MR. CHRISTOPHER R WALSH PA-C
Physician Assistant
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
DR. JOEL THOMAS MCFARLAND MD
Radiology (Diagnostic Radiology)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
JONATHAN P KRYMAN MD
Pain Medicine (Pain Medicine)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
JOHN C. OSGOOD M.D.
Orthopaedic Surgery
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
DR. ANDREW KENNETH YU PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 383-7870

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 Jonathan Berry's NPI number?

The NPI number for Jonathan Berry is 1194119115. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Jonathan Berry located?

Jonathan Berry practices at 209 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 596-3300.

What is Jonathan Berry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Jonathan Berry enrolled in Medicare?

Yes. Jonathan Berry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Berry was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.