1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Pediatrics
  6. NPI Profile

DR. SAMUEL REYNALDO CORTEZ GRANADOS MD
NPI 1255872479
Pediatrics - Pediatric Endocrinology in Saint Louis, MO

Active since March 20, 2017PECOS Enrolled
79.29/100
CMS Quality Rating
1 CHILDRENS PL, DIV PED ENDOCRINOLOGY AND DIABETES, SAINT LOUIS, MO 63110(314) 454-6051(314) 454-6225 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2024, Apr 25, 2024, Apr 10, 2024 and 4 more (7 updates tracked since 2017).

About Dr. Samuel Reynaldo Cortez Granados Md NPPES

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

DR. SAMUEL REYNALDO CORTEZ GRANADOS MD (NPI 1255872479) is an individual pediatric endocrinology provider in Saint Louis, Missouri, licensed in Missouri (2020019635) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255872479
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameDR. SAMUEL REYNALDO CORTEZ GRANADOSCredential: MD
Location Address1 CHILDRENS PL, DIV PED ENDOCRINOLOGY AND DIABETESSaint Louis, MO 63110-1002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-6051 · Fax (314) 454-6225
Phone(314) 454-6051
Fax(314) 454-6225
Sole ProprietorNo
Enumeration DateMarch 20, 2017
Last NPPES UpdateApril 17, 20257 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
✔ NPI 1255872479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in MO · 2020019635
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2020019635 (MO)
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 2020019635 (MO)
Also ListedPediatricsTaxonomy 208000000X · License 2020019635 (MO)
1 CHILDRENS PL, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid200048695MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Reynaldo Cortez Granados Md 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 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

ARIE BAKER MSW, LCSW
Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
St. Louis City (314) 747-6169
HANNAH EDELMAN MD, PHD
Psychiatry & Neurology (Neurology)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
SUSAN CHEUNG WALSH AUD
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-4649
MS. JENNIFER MARIE JACOBI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
MS. EMILY LINCOLN RN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6000
MS. MARISSA ROSE PEREZ-MAGNELLI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
DR. WILLIAM L RIVES MD
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2076
DR. PETER M KILBRIDGE MD
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2479

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 Samuel Cortez Granados's NPI number?

The NPI number for Samuel Cortez Granados is 1255872479. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Samuel Cortez Granados located?

Samuel Cortez Granados practices at 1 Childrens Pl Div Ped Endocrinology And Diabetes, Saint Louis, MO 63110. The listed phone number is (314) 454-6051.

What is Samuel Cortez Granados's specialty?

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

Is Samuel Cortez Granados enrolled in Medicare?

Yes. Samuel Cortez Granados is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Cortez Granados accept?

Health plans from Cox HealthPlans list Samuel Cortez Granados 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 Samuel Cortez Granados was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.