Doctor profile · Federal record
Dr. Jonathan Kalisvaart, MD
Pediatric Urology Physician (CMS: Urology) · Urology Physician · Pediatric Urology Physician · Spokane, WA
- NPI 1013196864
- Accepts Medicare
- 22 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
101 W 8Th Ave, Suite 100
Spokane, WA 992042307
(509) 624-3126
fax (509) 227-7070 - Mailing address
-
Po Box 421
Liberty Lake, WA 990190421
Credentials & registration
- NPI registered
- October 2007 — 19 yrs on file
- Profile last updated
- March 7, 2023
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 2088P0231X — NUCC code
- State licenses (3)
- Washington #MD 60207055 · California #A93105 · Georgia #062232
- Medicaid
- WA #127902334A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013196864. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$149
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 2 | $148.88 |
By nature of payment
Frequently asked questions
What is Dr. Jonathan Kalisvaart's medical specialty?
Dr. Jonathan Kalisvaart practices Pediatric Urology Physician in Spokane, WA.
Where does Dr. Jonathan Kalisvaart practice?
Dr. Jonathan Kalisvaart practices at 101 W 8Th Ave, Spokane, WA 992042307. Office phone: 5096243126.
What is Dr. Jonathan Kalisvaart's NPI?
Dr. Jonathan Kalisvaart's National Provider Identifier (NPI) is 1013196864, issued by NPPES.
Does Dr. Jonathan Kalisvaart accept Medicare assignment?
Yes. Dr. Jonathan Kalisvaart accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.