Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Thomas Rybolt, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780941542

Jonathan Thomas Rybolt, MD is an Anesthesiology in Kokomo, Indiana. Graduated from Indiana University School of Medicine in 2012, 14 years ago. Practices with St Joseph Primary Care, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1907 W Sycamore St
Kokomo, IN 46901-5148
Phone: (765) 456-5433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01076463A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780941542
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2012
Last updated in NPPESApril 25, 2016
Mailing address8840 Commerce Park Pl Ste E, Indianapolis, IN 46268-3129

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice St. Joseph Primary Care, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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