JERRY S. NNANABU M.D.
NPI 1902287246
Internal Medicine - Cardiovascular Disease in Tacoma, WA

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 596-3300 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry S. Nnanabu M.d. NPPES

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

JERRY S. NNANABU M.D. (NPI 1902287246) is an individual cardiovascular disease provider in Tacoma, Washington, licensed in Washington (60837284) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (2015).

NPPES Registry Identity

NPI1902287246
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJERRY S. NNANABUCredential: M.D.
Location Address209 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4265
Mailing Address209 Martin Luther King Jr WayTacoma, WA 98405-4265
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2015
Enumeration DateJune 12, 2015
Last NPPES UpdateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
NPI 1902287246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in WA · 60837284
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125066987 (IL)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 60837284 (WA)
209 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jerry S. Nnanabu M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911219555
PECOS Enrollment IDI20210806000490
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
101 services90 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Physician Assistant
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Family Medicine
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Physician Assistant
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Radiology (Diagnostic Radiology)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pain Medicine (Pain Medicine)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Orthopaedic Surgery
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405

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 Jerry Nnanabu's NPI number?

The NPI number for Jerry Nnanabu is 1902287246. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Jerry Nnanabu located?

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

What is Jerry Nnanabu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jerry Nnanabu enrolled in Medicare?

Yes. Jerry Nnanabu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jerry Nnanabu was last updated on July 14, 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.