GAUTAM KUKREJA MD
NPI 1205151198
Pediatrics in Davenport, IA
About Gautam Kukreja Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAUTAM KUKREJA MD (NPI 1205151198) is an individual pediatrics provider in Davenport, Iowa, licensed in Iowa (38806) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Davenport, and is a graduate of University College Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gautam Kukreja Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 52806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAVENPORT, IA 52806
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gautam Kukreja's NPI number?
The NPI number for Gautam Kukreja is 1205151198. It was assigned to this individual provider in the NPPES registry on April 2, 2010.
Where is Gautam Kukreja located?
Gautam Kukreja practices at 3200 W Kimberly Rd, Davenport, IA 52806. The listed phone number is (563) 421-0010.
What is Gautam Kukreja's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Gautam Kukreja enrolled in Medicare?
Yes. Gautam Kukreja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Gautam Kukreja accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Gautam Kukreja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gautam Kukreja was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gautam Kukreja, MD · NPI 1205151198
Pediatrics physician in Davenport, Iowa. Individual provider, active in the CMS NPPES registry since April 2, 2010.
## Identity
- **NPI:** 1205151198 (Entity type: Individual)
- **Enumerated:** April 2, 2010
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 38806 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 3200 W KIMBERLY RD, Davenport, IA 52806-3059
- **Phone:** (563) 421-0010 · **Fax:** (563) 421-0009
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University College Of Medicine, class of 2002
## Record status
- **NPPES last updated:** April 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205151198) · Data from the CMS NPPES public registry.