Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlos Jose Anciano Granadillo, MD

Individual provider Surgery Physician · NPI 1154563906

Carlos Jose Anciano Granadillo, MD is a Thoracic Surgery in Greenville, North Carolina. Qualified in 2002, 24 years ago. Practices with East Carolina University, a 498-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
24
Licensed in
NC
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

115 Heart Dr
Greenville, NC 27834-8982
Phone: (252) 744-4400
Fax: (252) 744-3987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 2013-01958 (NC)
Surgery Physician Taxonomy 208600000X · Licence 2013-01958 (NC)

Record details

NPI number1154563906
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 25, 2009
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Also practisesCARDIAC SURGERY, GENERAL SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice East Carolina University — 498 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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