Jason Robert Ryckeghem

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

074029 Issued in IA

Practice address

5250 Competition Dr Ste 100
Bettendorf, IA 52722-8837

Phone

(563) 322-0971

Fax

(563) 324-0615

NPI assigned

Sep 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

University of Washington School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
• Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jryckeghem@ora2099.srs-direct.com
• Direct secure messaging: jryckeghem215327@direct.unitypoint.org

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.

• Ora Orthopedics PC

  • Orthopaedic Surgery Physician
  • Moline, IL
  • NPI 1962481861

  IA

  Medicare reassignment Care Compare group NPD
• Ora Orthopedics, PC

  • Orthopaedic Surgery Physician
  • De Witt, IA
  • NPI 1043281355
  NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Ora Orthopedics PC

  • Physical Therapist
  • Rock Island, IL
  • NPI 1508645680
  NPD
• Ora Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Durant, IA
  • NPI 1639159700
  NPD (past)
• Advanced Radiology, S.C.

  • Diagnostic Radiology Physician
  • Rock Island, IL
  • NPI 1790773539
  NPD (past)

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

• Genesis Health System

  • General Acute Care Hospital
  • Davenport, IA
  • NPI 1972542264
  Care Compare affiliation
• Trinity Medical Center

  • General Acute Care Hospital
  • Bettendorf, IA
  • NPI 1124110820
  Care Compare affiliation
• Trinity Medical Center

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1588090476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 COMPETITION DR STE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527228837",
            "telephone_number": "563-322-0971",
            "fax_number": "563-324-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 COMPETITION DR STE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527228837",
            "telephone_number": "563-322-0971",
            "fax_number": "563-324-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYCKEGHEM",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "074029",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rushing
• Mary Jo Russell, PA-C
• Alyssa Ryan, DOULA
• Blake Ryan, DPT
• Tammy Sue Ryan, CD(DONA)
• Samantha Jo Salow
• Salsberry Health, PLLC
• Blain Anthony Samuelson, MD
• Jordan Sanders, D.C.
• Sharon Martin Sanyi, P. T.

• Physician Assistant in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.