DR. JONATHAN FRANK KALISVAART MD
NPI 1013196864
Urology - Pediatric Urology in Spokane, WA

Q: What is Jonathan Kalisvaart's NPI number?

The NPI number for Jonathan Kalisvaart is 1013196864. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Q: What is Jonathan Kalisvaart's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Active since October 29, 2007PECOS EnrolledAccepts Medicare Assignment

101 W 8TH AVE, SUITE 100, SPOKANE, WA 99204(509) 624-3126(509) 227-7070 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Mar 1, 2021, Mar 30, 2017 (3 updates tracked since 2017).

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About Dr. Jonathan Frank Kalisvaart Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN FRANK KALISVAART MD (NPI 1013196864) is an individual pediatric urology provider in Spokane, Washington, licensed in Washington (MD 60207055) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Deaconess Medical Center, and is a graduate of Baylor College Of Medicine (2004).

NPPES Registry Identity

NPI1013196864

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameDR. JONATHAN FRANK KALISVAARTCredential: MD

Location Address101 W 8TH AVE, SUITE 100Spokane, WA 99204-2307

Mailing AddressPo Box 421Liberty Lake, WA 99019-0421 · (866) 747-2455 · Fax (509) 227-7070

Phone(509) 624-3126

Fax(509) 227-7070

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2004

Enumeration DateOctober 29, 2007

Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration

NPPES CertifiedMarch 1, 2021

✔ NPI 1013196864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Licenses✔ Licensed in WA · MD 60207055✔ Licensed in GA · 062232

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License A93105 (CA)

101 W 8TH AVE, Spokane, WA 99204

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Other Identifiers 1

Medicaid127902334AWA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Frank Kalisvaart Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658540448

PECOS Enrollment IDI20110811000893

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Deaconess Medical Center

Acute Care Hospitals · Spokane, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500044

LocationW 800 Fifth AvenueSpokane, WA 99210 · Spokane County

Emergency services Birthing friendly

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500054

Location101 West 8th AvenueSpokane, WA 99204 · Spokane County

Emergency services Birthing friendly

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500077

Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County

Emergency services Birthing friendly

Multicare Valley Hospital

Acute Care Hospitals · Spokane, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500119

Location12606 East Mission AvenueSpokane, WA 99216 · Spokane County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA POSENJAK

Nurse Anesthetist, Certified Registered

101 W 8TH AVE
SPOKANE, WA 99204

Spokane County (509) 474-3131

CAITLIN KLAMPER MD

Psychiatry & Neurology (Psychiatry)

101 W 8TH AVE
SPOKANE, WA 99204

Spokane County (509) 474-4744

DR. SARAH N PETERSON MD

Radiology (Diagnostic Radiology)

101 W 8TH AVE
SPOKANE, WA 99204

Spokane County (509) 474-3020

MICHAEL GROSS MD

Anesthesiology

101 W 8TH AVE
SPOKANE, WA 99204

Spokane County (509) 474-3181

LAURA DARLENE DEWALD DO

Internal Medicine

101 W 8TH AVE
SPOKANE, WA 99204

Spokane County (509) 626-9900

PAUL C THORNE MD

Surgery (Pediatric Surgery)

101 W 8TH AVE, STE 100
SPOKANE, WA 99204

Spokane County (509) 474-5445

DR. BROOKS THOMAS LASELLE M.D.

Emergency Medicine

101 W 8TH AVE
SPOKANE, WA 99204

Spokane County (253) 217-3832

MR. MICHAEL CLIFFORD BLANCH R.PH.

Pharmacist

101 W 8TH AVE
SPOKANE, WA 99204

Spokane County (509) 474-3088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Kalisvaart's NPI number?

The NPI number for Jonathan Kalisvaart is 1013196864. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Where is Jonathan Kalisvaart located?

Jonathan Kalisvaart practices at 101 W 8th Ave Suite 100, Spokane, WA 99204. The listed phone number is (509) 624-3126.

What is Jonathan Kalisvaart's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Jonathan Kalisvaart enrolled in Medicare?

Yes. Jonathan Kalisvaart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jonathan Kalisvaart accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jonathan Kalisvaart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jonathan Kalisvaart affiliated with any hospitals?

According to CMS data, Jonathan Kalisvaart is affiliated with Deaconess Medical Center, Prov Sacred Hrt Med Ctr & Childs Hosp., Providence Holy Family Hospital and Multicare Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Kalisvaart was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.