Individual provider Active NPI

Rounak Babula Rawal, M.D.

  • Pediatric Otolaryngology Physician
  • Madison, CT
National Provider Identifier
1457799231
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
64080 Issued in CT
Practice address
230 Boston Post Road
Madison, CT 06443-2225
Phone
(203) 245-0496
Fax
(203) 245-8697
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 64080 CT
Pediatric Otolaryngology Physician 207YP0228X 64080 CT Primary

Addresses

Primary practice location

230 Boston Post Road
Madison, CT 06443-2225

Mailing address

230 Boston Post Road
Madison, CT 06443-2225
Phone (203) 245-0496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914002762 NC Order and Referring Only - OtolaryngologyPractitioner - Otolaryngology 9931495124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64080CTMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Pediatric Otolaryngology PastSince Nov 17, 2019 Accepting new patients
Prohealth Physicians PC PastSince Nov 17, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rrawal435684@direct.ynhh.org
  • Direct secure messaging: rounak.rawal.1@27673.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1457799231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BOSTON POST ROAD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432225",
            "telephone_number": "203-245-0496",
            "fax_number": "203-245-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BOSTON POST ROAD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432225",
            "telephone_number": "203-245-0496",
            "fax_number": "203-245-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWAL",
        "first_name": "ROUNAK",
        "middle_name": "BABULA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CT",
            "license": "64080",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "CT",
            "license": "64080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.