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

Individual provider Internal Medicine Physician · NPI 1467795930

Augustine K Kabongo, MD is an Internal Medicine in Davenport, Iowa. Qualified in 1998, 28 years ago. Practices with Genesis Health System, a 262-clinician group and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
28
Licensed in
IA, IL
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1227 E Rusholme St
Davenport, IA 52803-2459
Phone: (563) 421-7882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 40864 (IA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 00000 (IA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036135047 (IL)

Record details

NPI number1467795930
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2013
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address1227 E Rusholme St, Davenport, IA 52803-2459

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Genesis Health System — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Davenport