DR. PRAKASH R BONTU M.D.
NPI 1912986837
Internal Medicine - Cardiovascular Disease in Davenport, IA

Q: What is Prakash Bontu's NPI number?

The NPI number for Prakash Bontu is 1912986837. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Q: What is Prakash Bontu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Prakash Bontu was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 10, 2006PECOS Enrolled

1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803(563) 324-2992(563) 888-0499 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Prakash R Bontu M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRAKASH R BONTU M.D. (NPI 1912986837) is an individual cardiovascular disease provider in Davenport, Iowa, licensed in Iowa (24121) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912986837

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. PRAKASH R BONTUCredential: M.D.

Location Address1236 E RUSHOLME ST, SUITE 300Davenport, IA 52803-2473

Mailing Address1236 E Rusholme St, Suite 300Davenport, IA 52803-2473 · (563) 324-2992 · Fax (563) 888-0499

Phone(563) 324-2992

Fax(563) 888-0499

Sole ProprietorNo

Enumeration DateJanuary 10, 2006

Last NPPES UpdateNovember 21, 2007

✔ NPI 1912986837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IA · 24121

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1236 E RUSHOLME ST, Davenport, IA 52803

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINA54881

Medicare PIN16795IA

Medicaid2218230IA

Medicare PINL59715IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prakash R Bontu M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWNA KAYE DUSKE ACNP

Nurse Practitioner (Acute Care)