JONATHAN THOMAS RYBOLT (MD) – Anesthesiology Physician, NPI 1780941542

JONATHAN THOMAS RYBOLT (MD) is a healthcare provider. based in Kokomo, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 01076463A (IN). The NPI Number for JONATHAN THOMAS RYBOLT (MD) is 1780941542

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN THOMAS RYBOLT (MD)
NPI
1780941542
Phone
(765) 456-5433
Address
1907 W SYCAMORE ST
Enumeration Date
18 April 2012
Last Update Date
25 April 2016

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7654565433
Graduation Year
2012 (14 years ago)
PAC ID
9032343017
Group Practice PAC ID
5294700274
Professional Enrollment ID
I20160608001675
Address ID
IN469015148KO1907XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,447 ANESTHESIOLOGY in IN

Provider Addresses for JONATHAN THOMAS RYBOLT (MD)

  • 1907 W SYCAMORE ST

    KOKOMO, IN 469015148

    Phone: (765) 456-5433

    Type: Location

  • 8840 COMMERCE PARK PL STE E

    INDIANAPOLIS, IN 462683129

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160608001675IAnesthesiologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope1818$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 46901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294700274View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YIN

Reviews

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Frequently asked questions

What unique ID ties claims to JONATHAN THOMAS RYBOLT (MD)?
NPI 1780941542 is assigned to JONATHAN THOMAS RYBOLT (MD) under the national enumeration system.
Is JONATHAN THOMAS RYBOLT (MD) currently active in the NPI registry?
CMS-published data lists JONATHAN THOMAS RYBOLT (MD) as an active registrant.
What does JONATHAN THOMAS RYBOLT (MD) treat or focus on?
Patients typically see JONATHAN THOMAS RYBOLT (MD) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is JONATHAN THOMAS RYBOLT (MD)'s primary listing?
We display Kokomo, Indiana because that is what the record indicates for JONATHAN THOMAS RYBOLT (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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