JONATHAN THOMAS RYBOLT MD
NPI 1780941542
Anesthesiology in Kokomo, IN

Q: 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.

Q: What is Jonathan Rybolt's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: 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.

Active since April 18, 2012PECOS EnrolledAccepts Medicare Assignment

1907 W SYCAMORE ST, KOKOMO, IN 46901(765) 456-5433 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

NPI1780941542

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameJONATHAN THOMAS RYBOLTCredential: MD

Location Address1907 W SYCAMORE STKokomo, IN 46901-5148

Mailing Address8840 Commerce Park Pl Ste EIndianapolis, IN 46268-3129

Phone(765) 456-5433

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2012

Enumeration DateApril 18, 2012

Last NPPES UpdateApril 25, 2016

✔ NPI 1780941542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in IN · 01076463A

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1907 W SYCAMORE ST, Kokomo, IN 46901

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9032343017

PECOS Enrollment IDI20160608001675

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

11 services11 patients

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, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150010

Location1907 W Sycamore StKokomo, IN 46904 · Howard County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA ANNE COGDELL CRNA

Nurse Anesthetist, Certified Registered