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

Jerry S. Nnanabu, MD

Individual provider Internal Medicine Physician · NPI 1902287246

Jerry S. Nnanabu, MD is a Cardiovascular Disease (Cardiology) in Tacoma, Washington. Graduated from Warren Alpert Medical School of Brown University in 2015, 11 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group and accepts Medicare assignment. Licensed in Illinois and Washington.

Years since qualifying
11
Trained at
Warren Alpert Medical School of Brown University
Licensed in
IL, WA
In the registry since
2015
Specialties on file
3
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

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone: (253) 596-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 60837284 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125066987 (IL)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 60837284 (WA)

Record details

NPI number1902287246
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 12, 2015
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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