Doctor profile · Federal record
Dr. Gautam Kukreja, MD
Pediatrics Physician (CMS: Pediatric Medicine) · Davenport, IA
- NPI 1205151198
- Accepts Medicare
- 24 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3200 W Kimberly RD
Davenport, IA 528063059
(563) 421-0010
fax (563) 421-0009 - Additional location
-
500 W River Dr
Davenport, IA 528011014
(563) 336-3000
fax (563) 336-3125
Credentials & registration
- NPI registered
- April 2010 — 16 yrs on file
- Profile last updated
- April 28, 2021
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Iowa #38806
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205151198. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 1 | $15.74 |
By nature of payment
Frequently asked questions
What is Dr. Gautam Kukreja's medical specialty?
Dr. Gautam Kukreja practices Pediatrics Physician in Davenport, IA.
Where does Dr. Gautam Kukreja practice?
Dr. Gautam Kukreja practices at 3200 W Kimberly RD, Davenport, IA 528063059. Office phone: 5634210010.
What is Dr. Gautam Kukreja's NPI?
Dr. Gautam Kukreja's National Provider Identifier (NPI) is 1205151198, issued by NPPES.
Does Dr. Gautam Kukreja accept Medicare assignment?
Yes. Dr. Gautam Kukreja accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.