RAUL ANTONIO ARGUELLO M.D.
NPI 1093736423
Pediatrics - Pediatric Endocrinology in Danbury, CT

Active since July 21, 2006PECOS Enrolled
24 HOSPITAL AVE, DANBURY, CT 06810(203) 739-6810(203) 739-6465 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raul Antonio Arguello M.d. NPPES

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

RAUL ANTONIO ARGUELLO M.D. (NPI 1093736423) is an individual pediatric endocrinology provider in Danbury, Connecticut, licensed in Connecticut (046833) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093736423
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameRAUL ANTONIO ARGUELLOCredential: M.D.
Location Address24 HOSPITAL AVEDanbury, CT 06810-6099
Mailing Address24 Hospital AveDanbury, CT 06810-6099 · (203) 739-6810 · Fax (203) 739-6465
Fax(203) 739-6465
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateApril 14, 2022
NPPES CertifiedApril 14, 2022
✔ NPI 1093736423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in CT · 046833
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
24 HOSPITAL AVE, Danbury, CT 06810

Other Identifiers 2

Medicaid1093736423CT
Medicaid01933417NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raul Antonio Arguello 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Raul Arguello reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
ONE OMEGA DRIVE, BUILDING 3, 2ND FLOOR
Stamford, CT 06907
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
Pediatrics
282 WASHINGTON ST
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 601 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
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.

Emergency Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Nurse Anesthetist, Certified Registered
24 HOSPITAL AVE
DANBURY, CT 06810
Student in an Organized Health Care Education/Training Program
24 HOSPITAL AVE
DANBURY, CT 06810
Physician Assistant (Surgical)
24 HOSPITAL AVE
DANBURY, CT 06810
Nurse Practitioner (Acute Care)
24 HOSPITAL AVE
DANBURY, CT 06810
Anesthesiology
24 HOSPITAL AVE
DANBURY, CT 06810
Internal Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Emergency Medicine
24 HOSPITAL AVE
DANBURY, CT 06810

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 Raul Arguello's NPI number?

The NPI number for Raul Arguello is 1093736423. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Raul Arguello located?

Raul Arguello practices at 24 Hospital Ave, Danbury, CT 06810. The listed phone number is (203) 739-6810.

What is Raul Arguello's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Raul Arguello enrolled in Medicare?

Yes. Raul Arguello is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Raul Arguello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Arguello reassigns Medicare benefits to 2 organizations: Stamford Health Medical Group Inc (Stamford, CT) and Connecticut Children's Specialty Group, Inc. (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raul Arguello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Arguello accept?

Health plans from Anthem Blue Cross and Blue Shield list Raul Arguello 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 Raul Arguello was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.