Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Kalonick

Individual provider Physician Assistant · NPI 1093586059

Matthew Kalonick is a Physician Assistant in Bismarck, North Dakota. Qualified in 2024, 2 years ago. Practices with Sanford Bismarck, a 561-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

222 N 7th St
Bismarck, ND 58501-4436
Phone: (701) 323-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 N Columbia Rd, Grand Forks, ND 58202-6098 — (701) 400-1396

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1093586059
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2024
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sanford Bismarck — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Bismarck