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

Individual provider Pediatrics Physician · NPI 1205151198

Gautam Kukreja, MD is a Pediatric Medicine in Davenport, Iowa. Graduated from University College of Medicine in 2002, 24 years ago. Practices with Genesis Health System, a 220-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
24
Trained at
University College of Medicine
Licensed in
IA
In the registry since
2010
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

3200 W Kimberly Rd
Davenport, IA 52806-3059
Phone: (563) 421-0010
Fax: (563) 421-0009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 W River Dr, Davenport, IA 52801-1014 — (563) 336-3000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 38806 (IA)

Record details

NPI number1205151198
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2010
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Genesis Health System — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Davenport