Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Yungil Ryu

Individual provider Physician Assistant · NPI 1629847199

Jason Yungil Ryu is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2023, 3 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

225 Smith Ave N Ste 400
Saint Paul, MN 55102-2568
Phone: (651) 290-0133
Fax: (651) 241-2910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14801 (MN)

Record details

NPI number1629847199
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 26, 2023
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Saint Paul