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

Dr. Jorge Granadillo de Luque, MD

Individual provider Pediatrics Physician · NPI 1952717902

Dr. Jorge Granadillo de Luque, MD is a Medical Genetics and Genomics in Saint Louis, Missouri. Qualified in 2007, 19 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
19
Licensed in
MO
In the registry since
2014
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

1 Childrens Pl Div Ped Genetics And Genomic Med
Saint Louis, MO 63110-1002
Phone: (314) 454-6093
Fax: (844) 965-9624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence 2017041051 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2017041051 (MO)

Record details

NPI number1952717902
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2014
Last updated in NPPESApril 21, 2025
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyMEDICAL GENETICS AND GENOMICS
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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