Active NPI
Jerry John, MD
- Advanced Heart Failure and Transplant Cardiology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- License
- MD61593680
- Practice address
- 1901 S Cedar St Ste 101
Tacoma, WA 98405-2302 - Phone
- (253) 301-5370
- Fax
- (253) 301-5379
- NPI assigned
- Nov 7, 2006
- Last updated
- Dec 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200501438 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | 5210479-1205 | UT | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 0101274896 | VA | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | MD61593680 | WA | Primary |
Addresses
Primary practice location
1901 S Cedar St Ste 101
Tacoma, WA 98405-2302
Mailing address
PO Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299
Other practice location 1
2001 Crystal Spring Ave SW Ste 203
Roanoke, VA 24014-2465
Phone (540) 981-8749
Other practice location 2
4403 Harrison Blvd
Suite 3450
Ogden, UT 84403-3271
Phone (801) 387-3850
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659440543 | Medicaid | UT | |
| 807070 | Other | NC | PARTNERS MEDICARE |
| 2317636 | Medicaid | WA | |
| 5902155 | Medicaid | NC | |
| 140XV | Other | NC | BCBS OF NC |
| 183494 | Other | NC | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, VA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- Michigan State University College of Human Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1901 S Union Ave
Tacoma, WA 98405-1702
202 N Division St
Auburn, WA 98001-4939
222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788
311 S L St
Tacoma, WA 98405-3720
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-2130
317 Martin Luther King Jr Way
Tacoma, WA 98405-4234
317 MLK Jr Way
Multicare Social Work Serv
Tacoma, WA 98405-4234
Phone (253) 403-1126
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-1962
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Good Samaritan Hospital
- Multicare Covington Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200501438 | NC | MD | Internal Medicine Physician |
| 0101274896 | VA | MD | Advanced Heart Failure and Transplant Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Ihc Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of Lucas County, LTD | Internal Medicine | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
4403 Harrison Blvd
Ste 3450
Ogden, UT 84403
Phone (801) 357-3850
1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
1901 S Cedar St
Ste 101
Tacoma, WA 98405
Phone (253) 301-5370
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- jjohn824401@direct.multicare.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba MultiCare Rockwood Imaging
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1285121442
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Sanpete Valley Hospital Physicians
- Multi-Specialty Clinic/Center
- Mt Pleasant, UT
- NPI 1679510218
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Auburn MultiCare Clinic
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
-
- Internal Medicine Physician
- Maumee, OH
- NPI 1245270602
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Covington Medical Center
- General Acute Care Hospital
- Covington, WA
- NPI 1326564071
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
dba MultiCare Good Samaritan Hospital
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766534400000",
"number": "1659440543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5299",
"address_2": "MS: 820-5-PCO",
"city": "TACOMA",
"state": "WA",
"postal_code": "984150299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S CEDAR ST STE 101",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052302",
"telephone_number": "253-301-5370",
"fax_number": "253-301-5379"
}
],
"practiceLocations": [
{
"address_1": "2001 Crystal Spring Ave SW Ste 203",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240142465",
"country_code": "US",
"telephone_number": "540-981-8749",
"fax_number": "540-981-9305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4403 Harrison Blvd",
"address_2": "Suite 3450",
"address_purpose": "LOCATION",
"city": "Ogden",
"state": "UT",
"postal_code": "844033271",
"country_code": "US",
"telephone_number": "801-387-3850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHN",
"first_name": "JERRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200501438",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "UT",
"license": "5210479-1205",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "VA",
"license": "0101274896",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "WA",
"license": "MD61593680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659440543",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE",
"identifier": "807070",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2317636",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902155",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "140XV",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "183494",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.