NPI Details
DR. Jonathan Frank Kalisvaart, MD is a pediatric urology urology in Spokane, WA with 22 years of experience. The provider is 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). DR. Jonathan Frank Kalisvaart, MD NPI is 1013196864. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2004
The provider's business location address is:
101 W 8TH AVE
SUITE 100
SPOKANE, WA
ZIP 99204-307
Phone: (509) 624-3126
Fax: (509) 227-7070
The NPI 1013196864 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
The enumeration date for this NPI number is 10/29/2007 and was last updated on 3/7/2023.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 208800000X | Urology | | A93105 | CALIFORNIA | No |
| 2 | 2088P0231X | Urology | Pediatric Urology | 062232 | GEORGIA | No |
| 3 | 2088P0231X | Urology | Pediatric Urology | MD 60207055 | WASHINGTON | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 127902334A | MEDICAID | WASHINGTON | |
