RAPHAEL AUGUSTO CORREA BASTIANON SANTIAGO M.D.
NPI 1922794403
Neurological Surgery in Jacksonville, FL

Active since April 17, 2023PECOS Enrolled
836 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 388-6518 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2025, Sep 20, 2024 (2 updates tracked since 2024).

About Raphael Augusto Correa Bastianon Santiago M.d. NPPES

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

RAPHAEL AUGUSTO CORREA BASTIANON SANTIAGO M.D. (NPI 1922794403) is an individual neurological surgery provider in Jacksonville, Florida, licensed in New York (334335) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922794403
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameRAPHAEL AUGUSTO CORREA BASTIANON SANTIAGOCredential: M.D.
Location Address836 PRUDENTIAL DRJacksonville, FL 32207-8334
Mailing Address836 Prudential DrJacksonville, FL 32207-8334 · (904) 388-6518
Sole ProprietorNo
Enumeration DateApril 17, 2023
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
NPI 1922794403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in NY · 334335 Licensed in FL · ME174354
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.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Raphael Augusto Correa Bastianon Santiago 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

Obstetrics & Gynecology (Reproductive Endocrinology)
836 PRUDENTIAL DR, SUITE 902
JACKSONVILLE, FL 32207
Neurological Surgery
836 PRUDENTIAL DR, UFJP NEUROSURGERY - PEDIATRICS
JACKSONVILLE, FL 32207
Specialist
836 PRUDENTIAL DR, SUITE 1606
JACKSONVILLE, FL 32207
Surgery (Vascular Surgery)
836 PRUDENTIAL DR, STE 1804
JACKSONVILLE, FL 32207
Nurse Practitioner (Family)
836 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Physician Assistant (Medical)
836 PRUDENTIAL DR, SUITE 801
JACKSONVILLE, FL 32207
Physician Assistant (Surgical)
836 PRUDENTIAL DR, STE 1804
JACKSONVILLE, FL 32207
Surgery
836 PRUDENTIAL DR, SUITE 1001
JACKSONVILLE, FL 32207

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 Raphael Correa Bastianon Santiago's NPI number?

The NPI number for Raphael Correa Bastianon Santiago is 1922794403. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Raphael Correa Bastianon Santiago located?

Raphael Correa Bastianon Santiago practices at 836 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 388-6518.

What is Raphael Correa Bastianon Santiago's specialty?

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

Is Raphael Correa Bastianon Santiago enrolled in Medicare?

Yes. Raphael Correa Bastianon Santiago is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raphael Correa Bastianon Santiago was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.