DR. RAUL J CARDENAS MD
NPI 1619187697
Neurological Surgery in Memphis, TN

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
81.33/100
CMS Quality Rating
6286 BRIARCREST AVE STE 200, MEMPHIS, TN 38120(901) 259-1600(901) 259-1698 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2024, Apr 3, 2024 (2 updates tracked since 2024).

About Dr. Raul J Cardenas Md NPPES

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

DR. RAUL J CARDENAS MD (NPI 1619187697) is an individual neurological surgery provider in Memphis, Tennessee, licensed in Tennessee (46082) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and maintains a secondary practice location in Southaven.

NPPES Registry Identity

NPI1619187697
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. RAUL J CARDENASCredential: MD
Location Address6286 BRIARCREST AVE STE 200Memphis, TN 38120-4023
Mailing Address6077 E Primacy Pkwy Ste 140Memphis, TN 38119-5754 · (901) 725-8347 · Fax (901) 259-7637
Fax(901) 259-1698
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2003
Enumeration DateMay 22, 2007
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
NPI 1619187697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in TN · 46082 Licensed in LA · 200214 Licensed in TX · P0179
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
6286 BRIARCREST AVE STE 200, Memphis, TN 38120

Secondary Practice Location 1

Location 17580 Clarington CvSouthaven, MS 38671-5657 · Phone (901) 259-1600 · Fax (901) 259-1698

Other Identifiers 1

Medicaid1522192TN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Raul J Cardenas Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507997848
PECOS Enrollment IDI20101014000417, I20150715001011
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.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
158 services120 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
121 services13 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
80 services63 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
65 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
60 services60 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
44 services33 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Regional One Health

Acute Care Hospitals · Memphis, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

Saint Francis Bartlett Medical Center

Acute Care Hospitals · Bartlett, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440228
Location2986 Kate Bond RdBartlett, TN 38133 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.5
Promoting Interoperability90
Improvement Activities40
Cost62.6

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.

Nurse Practitioner (Family)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Nurse Practitioner (Family)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Orthopaedic Surgery (Hand Surgery)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Orthopaedic Surgery (Foot and Ankle Surgery)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Physical Medicine & Rehabilitation (Pain Medicine)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Nurse Practitioner (Adult Health)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Orthopaedic Surgery
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120
Nurse Practitioner (Family)
6286 BRIARCREST AVE STE 200
MEMPHIS, TN 38120

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 Cardenas's NPI number?

The NPI number for Raul Cardenas is 1619187697. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Raul Cardenas located?

Raul Cardenas practices at 6286 Briarcrest Ave Ste 200, Memphis, TN 38120. The listed phone number is (901) 259-1600.

What is Raul Cardenas's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Raul Cardenas enrolled in Medicare?

Yes. Raul Cardenas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raul Cardenas accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Raul Cardenas 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.

Is Raul Cardenas affiliated with any hospitals?

According to CMS data, Raul Cardenas is affiliated with Baptist Memorial Hospital, Methodist Hospitals Of Memphis, Regional One Health and Saint Francis Bartlett Medical Center.

When was this NPI record last updated?

The NPPES record for Raul Cardenas was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.