Jason Alan Rytlewski, MD

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

2022032423 Issued in MO

Practice address

1225 Graham Rd Ste C-2310
Florissant, MO 63031-8023

Phone

(314) 953-6300

Fax

(314) 953-6309

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO, NC, KY, OH4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Cardiac Electrophysiology

Education

University of Michigan Medical School, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appalachian Regional Healthcare Inc 301 clinicians

Chas Physician Services LLC 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boone Hospital Center Hospital, Columbia, MO, CCN 260068
• Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029
• Mercy Medical Center Hospital, Canton, OH, CCN 360070
• Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313
• Fitzgibbon Hospital Hospital, Marshall, MO, CCN 260142

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chas Physician Services LLC

  • Cardiovascular Disease Physician
  • Columbia, MO
  • NPI 1629301163

  MO

  Medicare reassignment Care Compare group
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919

  OH

  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998

  KY

  Medicare reassignment
• Appalachian Regional Healthcare, Inc

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD
• Appalachian Regional Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Hazard, KY
  • NPI 1558431346
  NPD
• Northern Hospital of Surry County

  • Internal Medicine Physician
  • Mount Airy, NC
  • NPI 1114467404
  NPD
• Fairview Heights Medical Group SC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1679503668
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CH Allied Services, Inc

  • Cardiac Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1548734734

  Hospital

  Care Compare affiliation
• CH Allied Services, Inc.

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1902817844

  Hospital

  Care Compare affiliation
• John Fitzgibbon Memorial Hospital Inc

  • Rural Health Clinic/Center
  • Pilot Grove, MO
  • NPI 1073279873

  Hospital

  Care Compare affiliation
• John Fitzgibbon Memorial Hospital Inc

  • Clinic/Center
  • Marshall, MO
  • NPI 1093731986

  Hospital

  Care Compare affiliation
• John Fitzgibbon Memorial Hospital Inc

  • Rural Health Clinic/Center
  • Marshall, MO
  • NPI 1134752140

  Hospital

  Care Compare affiliation
• John Fitzgibbon Memorial Hospital Inc

  • Clinic/Center
  • Marshall, MO
  • NPI 1285650176

  Hospital

  Care Compare affiliation
• John Fitzgibbon Memorial Hospital Inc

  • Psychiatry Physician
  • Marshall, MO
  • NPI 1285779330

  Hospital

  Care Compare affiliation
• John Fitzgibbon Memorial Hospital Inc

  • Rural Health Clinic/Center
  • Fayette, MO
  • NPI 1316140494

  Hospital

  Care Compare affiliation
• John Fitzgibbon Memorial Hospital Inc

  • Multi-Specialty Clinic/Center
  • Marshall, MO
  • NPI 1346966454

  Hospital

  Care Compare affiliation
• John Fitzgibbon Memorial Hospital Inc.

  • General Acute Care Hospital
  • Marshall, MO
  • NPI 1730182478

  Hospital

  Care Compare affiliation
• John Fitzgibbon Memorial Hospital Inc.

  • Rural Health Clinic/Center
  • Slater, MO
  • NPI 1952611436

  Hospital

  Care Compare affiliation
• John Fitzgibbon Memorial Hospital, Inc.

  • Clinic/Center
  • Marshall, MO
  • NPI 1437175320

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1104036029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959203",
            "telephone_number": "314-953-6300",
            "fax_number": "314-953-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GRAHAM RD STE C-2310",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318023",
            "telephone_number": "314-953-6300",
            "fax_number": "314-953-6309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Black Gold Blvd",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417012620",
            "country_code": "US",
            "telephone_number": "606-487-7000",
            "fax_number": "606-487-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1605 East Broadway",
            "address_2": "#300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "65201",
            "country_code": "US",
            "telephone_number": "573-256-7700",
            "fax_number": "573-256-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYTLEWSKI",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2022032423",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MO",
            "license": "2022032423",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35C.003576",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KY",
            "license": "C5087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1225 Graham Rd Ste C-2310",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630318023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Lynn Rumpf, RPH
• Sarah Runk, PLPC
• Jamie Rusan, PHARMD
• Teresa Rush, FNP-C
• Demetria Russell, LPC
• S&R Home Health Services LLC
• Ashwini Sabnis
• Sadie'S Caring Hearts
• Safe and Sound CDS LLC
• Saferoute Scholars Transportation

• All providers in Florissant, MO
• Clinical Cardiac Electrophysiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.