Rupa Bontu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24346 Issued in IA

Practice address

4626 Progress Dr
Davenport, IA 52807-3483

Phone

(563) 441-9100

Fax

(563) 441-9101

NPI assigned

Jan 12, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trinity Medical Center

  • Emergency Medicine Physician
  • Rock Island, IL
  • NPI 1568414134

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407835994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 PROGRESS DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073483",
            "telephone_number": "563-441-9100",
            "fax_number": "563-441-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 PROGRESS DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073483",
            "telephone_number": "563-441-9100",
            "fax_number": "563-441-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTU",
        "first_name": "RUPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "24346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillia Bolboli
• Randall E Boldt, PT
• Bolger Aesthestics, PC (Medical Aesthetics and Wellness Center)
• James Randall Bolton, LISW
• Prakash R Bontu, M.D.
• Amanda Lynn Boone, PHARMD
• Jacob Bradley Boraas, DC
• Ronald Leslie Borcherding, O.D.
• Ashley Borden, DO
• Abigail Borkhart, LMSW

• Internal Medicine Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.