DR. JORGE GRANADILLO DE LUQUE MD
NPI 1952717902
Medical Genetics - Clinical Genetics (M.D.) in Saint Louis, MO

Active since July 09, 2014PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1 CHILDRENS PL, DIV PED GENETICS AND GENOMIC MED, SAINT LOUIS, MO 63110(314) 454-6093(844) 965-9624 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2024, Mar 14, 2023, Jan 25, 2022 and 2 more (5 updates tracked since 2020).

About Dr. Jorge Granadillo De Luque Md NPPES

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

DR. JORGE GRANADILLO DE LUQUE MD (NPI 1952717902) is an individual clinical genetics (m.d.) provider in Saint Louis, Missouri, licensed in Missouri (2017041051) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1952717902
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameDR. JORGE GRANADILLO DE LUQUECredential: MD
Location Address1 CHILDRENS PL, DIV PED GENETICS AND GENOMIC MEDSaint Louis, MO 63110-1002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-6093 · Fax (844) 965-9624
Fax(844) 965-9624
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 9, 2014
Last NPPES UpdateApril 21, 20255 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
NPI 1952717902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License Licensed in MO · 2017041051
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedPediatricsTaxonomy 208000000X · License 2017041051 (MO)
1 CHILDRENS PL, Saint Louis, MO 63110

Other Identifiers 1

Medicaid200054630MO

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. Jorge Granadillo De Luque 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 ID941556336
PECOS Enrollment IDI20180627000438
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 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.

Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PL, DIV PED HEMATOLOGY AND ONC, STE 9S
SAINT LOUIS, MO 63110

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 Jorge Granadillo De Luque's NPI number?

The NPI number for Jorge Granadillo De Luque is 1952717902. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Jorge Granadillo De Luque located?

Jorge Granadillo De Luque practices at 1 Childrens Pl Div Ped Genetics And Genomic Med, Saint Louis, MO 63110. The listed phone number is (314) 454-6093.

What is Jorge Granadillo De Luque's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Jorge Granadillo De Luque enrolled in Medicare?

Yes. Jorge Granadillo De Luque 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 Jorge Granadillo De Luque accept?

Health plans from Cox HealthPlans and Medica list Jorge Granadillo De Luque 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 Jorge Granadillo De Luque was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.