diff --git a/python/sglang/srt/layers/attention/nsa_backend.py b/python/sglang/srt/layers/attention/nsa_backend.py
index 1af6b4c3b..b77fb1a1a 100644
--- a/python/sglang/srt/layers/attention/nsa_backend.py
+++ b/python/sglang/srt/layers/attention/nsa_backend.py
@@ -7,6 +7,7 @@ from typing import TYPE_CHECKING, Dict, List, Literal, Optional, TypeAlias
 import torch
 
 from sglang.srt.configs.model_config import get_nsa_index_topk, is_deepseek_nsa
+from sglang.srt.environ import envs
 from sglang.srt.layers.attention.base_attn_backend import AttentionBackend
 from sglang.srt.layers.attention.nsa.dequant_k_cache import dequantize_k_cache_paged
 from sglang.srt.layers.attention.nsa.nsa_indexer import BaseIndexerMetadata
@@ -50,6 +51,10 @@ else:
     from sgl_kernel.flash_attn import flash_attn_varlen_func, flash_attn_with_kvcache
 
 
+# Reuse this workspace buffer across all NSA backend instances
+global_workspace_buffer = None
+
+
 @dataclass(frozen=True)
 class NSAFlashMLAMetadata:
     """Metadata only needed by FlashMLA"""
@@ -231,6 +236,20 @@ class NativeSparseAttnBackend(AttentionBackend):
         )
         self.speculative_step_id = speculative_step_id
 
+        # Allocate global workspace buffer for TRTLLm ragged attention kernel (SM100/B200)
+        device_sm_major = torch.cuda.get_device_capability()[0]
+        if device_sm_major >= 10:
+            global global_workspace_buffer
+            if global_workspace_buffer is None:
+                global_workspace_buffer = torch.empty(
+                    envs.SGLANG_FLASHINFER_WORKSPACE_SIZE.get(),
+                    dtype=torch.uint8,
+                    device=model_runner.device,
+                )
+            self.workspace_buffer = global_workspace_buffer
+        else:
+            self.workspace_buffer = None
+
     def get_device_int32_arange(self, l: int) -> torch.Tensor:
         if l > len(self._arange_buf):
             next_pow_of_2 = 1 << (l - 1).bit_length()
@@ -1196,9 +1215,34 @@ class NativeSparseAttnBackend(AttentionBackend):
             f"cu_seqlens_k has {len(cu_seqlens_k)-1} requests"
         )
 
-        # Determine FA version: FA3 for SM90 (Hopper), FA4 for SM100+ (Blackwell and beyond)
+        # Use TRTLLm ragged attention for SM100 (Blackwell/B200) to avoid FA4 accuracy issues
         device_sm_major = torch.cuda.get_device_capability()[0]
-        fa_version = 4 if device_sm_major >= 10 else 3
+        if device_sm_major >= 10:
+            import flashinfer
+
+            seq_lens = metadata.cache_seqlens_int32
+            return flashinfer.prefill.trtllm_ragged_attention_deepseek(
+                query=q,
+                key=k,
+                value=v,
+                workspace_buffer=self.workspace_buffer,
+                seq_lens=seq_lens,
+                max_q_len=metadata.max_seq_len_q,
+                max_kv_len=max_seqlen_k,
+                bmm1_scale=layer.scaling,
+                bmm2_scale=1.0,
+                o_sf_scale=1.0,
+                batch_size=forward_batch.batch_size,
+                window_left=-1,
+                cum_seq_lens_q=cu_seqlens_q,
+                cum_seq_lens_kv=cu_seqlens_k,
+                enable_pdl=False,
+                is_causal=causal,
+                return_lse=False,
+            )
+
+        # Use FA3 for SM90 (Hopper/H200)
+        fa_version = 3
 
         return flash_attn_varlen_func(
             q=q,
diff --git a/python/sglang/srt/models/deepseek_v2.py b/python/sglang/srt/models/deepseek_v2.py
index d3c364681..a7ba1c82f 100644
--- a/python/sglang/srt/models/deepseek_v2.py
+++ b/python/sglang/srt/models/deepseek_v2.py
@@ -415,11 +415,14 @@ def handle_attention_nsa(attn, forward_batch):
         assert forward_batch.seq_lens_cpu is not None
         max_kv_len = forward_batch.seq_lens_cpu.max().item()
 
-        # B200 (SM100) is temporarily disabled for MHA due to FA4 accuracy issues
-        # Currently only H200 (SM90) with FA3 is allowed to use MHA path
-        is_hopper = _device_sm == 90
+        # MHA path enabled for both H200 (SM90, FA3) and B200 (SM100, TRTLLm ragged)
+        # B200 uses trtllm_ragged_attention_deepseek kernel instead of FA4
+        supports_mha = _device_sm in [90, 100]
 
-        if max_kv_len <= attn.indexer.index_topk and is_hopper:
+        # Check if kvcache dtype is bfloat16
+        kv_dtype_is_bf16 = forward_batch.token_to_kv_pool.dtype == torch.bfloat16
+
+        if max_kv_len <= attn.indexer.index_topk and supports_mha and kv_dtype_is_bf16:
             # NSA backend uses varlen kernel which supports MHA_ONE_SHOT
             # Check if total sequence length fits in chunk capacity
             sum_seq_lens = sum(forward_batch.seq_lens_cpu)