diff --git a/python/sglang/srt/layers/attention/nsa/dequant_k_cache.py b/python/sglang/srt/layers/attention/nsa/dequant_k_cache.py
index c7c55eb2b..b6087eecd 100644
--- a/python/sglang/srt/layers/attention/nsa/dequant_k_cache.py
+++ b/python/sglang/srt/layers/attention/nsa/dequant_k_cache.py
@@ -189,10 +189,9 @@ def dequantize_k_cache_paged(
     ), f"dim_quant: {dim_quant} != 656 detected in dequantize_k_cache_paged"
     quant_k_cache = quant_k_cache.view((-1, dim_quant))
 
-    total_num_tokens, _ = quant_k_cache.shape
+    # num_tokens can exceed kv_cache_size due to prefix sharing (multiple seqs share same KV slots)
+    # Index bounds validated in nsa_backend.init_forward_metadata
     num_tokens = page_table_1_flattened.shape[0]
-    assert num_tokens <= total_num_tokens
-
     assert quant_k_cache.dtype == torch.float8_e4m3fn
     dim_nope = 512
     dim_rope = 64
diff --git a/python/sglang/srt/layers/attention/nsa_backend.py b/python/sglang/srt/layers/attention/nsa_backend.py
index 172440336..ed7f24178 100644
--- a/python/sglang/srt/layers/attention/nsa_backend.py
+++ b/python/sglang/srt/layers/attention/nsa_backend.py
@@ -463,14 +463,16 @@ class NativeSparseAttnBackend(AttentionBackend):
                 ]
             )
 
-            # Check if MHA with FP8 needs page_table_1_flattened for dequantization
+            # Check if MHA FP8 dequantization is needed
             mha_dequantize_needed = (
                 self.use_mha
                 and forward_batch.token_to_kv_pool.dtype == torch.float8_e4m3fn
             )
             forward_batch.using_mha_one_shot_fp8_dequant = mha_dequantize_needed
 
-            if (
+            # page_table_1_flattened is only used when prefix sharing is enabled:
+            has_prefix_sharing = any(forward_batch.extend_prefix_lens_cpu)
+            if has_prefix_sharing and (
                 topk_transform_method == TopkTransformMethod.RAGGED
                 or mha_dequantize_needed
             ):
@@ -486,6 +488,19 @@ class NativeSparseAttnBackend(AttentionBackend):
                     page_table_1_flattened.shape[0] == forward_batch.seq_lens_sum
                 ), f"{page_table_1_flattened.shape[0] = } must be the same as {forward_batch.seq_lens_sum = }"
 
+                # Validate indices when logical tokens exceed physical capacity
+                # This is likely to be triggered by PP with high kv reuse & parallelism
+                kv_cache_capacity = (
+                    forward_batch.token_to_kv_pool.size
+                    + forward_batch.token_to_kv_pool.page_size
+                )
+                if forward_batch.seq_lens_sum > kv_cache_capacity:
+                    max_idx = page_table_1_flattened.max().item()
+                    assert max_idx < kv_cache_capacity, (
+                        f"Invalid page table index: max={max_idx}, "
+                        f"kv_cache_capacity={kv_cache_capacity}"
+                    )
+
             if topk_transform_method == TopkTransformMethod.RAGGED:
                 topk_indices_offset = torch.repeat_interleave(
                     cu_seqlens_k[:-1],