DR. RAFAEL SANTIAGO (M.D.) – Family Medicine Physician, NPI 1174517825

DR. RAFAEL SANTIAGO (M.D.) is a healthcare provider. based in Springfield, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 2004020481 (MO). The NPI Number for DR. RAFAEL SANTIAGO (M.D.) is 1174517825

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAFAEL SANTIAGO (M.D.)
NPI
1174517825
Phone
(417) 831-0150
Address
440 E TAMPA ST
Enumeration Date
8 September 2005
Last Update Date
15 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178310150
Graduation Year
2000 (26 years ago)
PAC ID
2769378199
Group Practice PAC ID
5395653562
Professional Enrollment ID
I20080630000392
Address ID
MO658061131SP440XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for DR. RAFAEL SANTIAGO (M.D.)

  • 440, East Tampa Street, Springfield, Greene County, Missouri, 65806, United States

    SPRINGFIELD, MO 658061131

    Phone: (417) 831-0150

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-01-05 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080630000392IFamily PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65806)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395653562View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Physician AssistantMO
Physician AssistantMO
Nurse PractitionerMO
Nurse PractitionerMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Family PracticeMO
-MO

Reviews

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Frequently asked questions

Can I verify DR. RAFAEL SANTIAGO (M.D.) with an NPI only?
You can start verification with NPI 1174517825 for DR. RAFAEL SANTIAGO (M.D.), then check state licensing separately.
Does CMS list DR. RAFAEL SANTIAGO (M.D.) as active?
Yes — DR. RAFAEL SANTIAGO (M.D.) is active in the NPI listing used on this page.
What is DR. RAFAEL SANTIAGO (M.D.) best known for clinically?
Directory data describes DR. RAFAEL SANTIAGO (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. RAFAEL SANTIAGO (M.D.) on a map?
Expect Springfield, Missouri as a primary anchor for DR. RAFAEL SANTIAGO (M.D.) unless the record lists multiple sites.
Is the information about DR. RAFAEL SANTIAGO (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."