JONATHAN THOMAS RYBOLT MD
NPI 1780941542
Anesthesiology in Kokomo, IN
About Jonathan Thomas Rybolt Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN THOMAS RYBOLT MD (NPI 1780941542) is an individual anesthesiology provider in Kokomo, Indiana, licensed in Indiana (01076463A) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and is a graduate of Indiana University School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jonathan Thomas Rybolt Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Rybolt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kokomo, IN 46901
- Reassigned Medicare billing, Indiana enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent Kokomo
Acute Care Hospitals · Kokomo, INOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KOKOMO, IN 46901
KOKOMO, IN 46901
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 Jonathan Rybolt's NPI number?
The NPI number for Jonathan Rybolt is 1780941542. It was assigned to this individual provider in the NPPES registry on April 18, 2012.
Where is Jonathan Rybolt located?
Jonathan Rybolt practices at 1907 W Sycamore St, Kokomo, IN 46901. The listed phone number is (765) 456-5433.
What is Jonathan Rybolt's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Jonathan Rybolt enrolled in Medicare?
Yes. Jonathan Rybolt 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.
Which organization bills Medicare for Jonathan Rybolt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Rybolt reassigns Medicare benefits to St. Joseph Primary Care, LLC (Kokomo, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Rybolt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jonathan Rybolt affiliated with any hospitals?
According to CMS data, Jonathan Rybolt is affiliated with Ascension St Vincent Kokomo.
When was this NPI record last updated?
The NPPES record for Jonathan Rybolt was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jonathan Thomas Rybolt, MD · NPI 1780941542
Anesthesiology physician in Kokomo, Indiana. Individual provider, active in the CMS NPPES registry since April 18, 2012.
## Identity
- **NPI:** 1780941542 (Entity type: Individual)
- **Enumerated:** April 18, 2012
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 01076463A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1907 W SYCAMORE ST, Kokomo, IN 46901-5148
- **Phone:** (765) 456-5433
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Joseph Primary Care, LLC (NPI 1982736377, Kokomo, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** April 25, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1780941542) · Data from the CMS NPPES public registry.