Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Victor Jose Anciano Granadillo, MD

Individual provider Orthopaedic Surgery Physician · NPI 1841686995

Victor Jose Anciano Granadillo, MD is an Orthopedic Surgery in Louisville, Kentucky. Graduated from Harvard Medical School in 2015, 11 years ago. Practices with University of Louisville Physicians Inc, a 1,433-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
11
Trained at
Harvard Medical School
Licensed in
KY
In the registry since
2015
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

4402 Churchman Ave Ste 300
Louisville, KY 40215-3101
Phone: (502) 363-0588
Fax: (502) 363-0972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 55434 (KY)

Record details

NPI number1841686995
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2015
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice University Of Louisville Physicians Inc — 1433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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