JORGE GRANADILLO DE LUQUE MD – NPI #1952717902
Medical Genetics
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
JORGE GRANADILLO DE LUQUE is a medical geneticist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1952717902 to JORGE GRANADILLO DE LUQUE on July 09, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207SG0201X from the Health Care Provider Taxonomy code set, which is classified as Medical Genetics, specializing in Clinical Genetics (M.D.)
The NPI profile was last updated on Apr 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JORGE GRANADILLO DE LUQUE below.
NPI Profile for
JORGE GRANADILLO DE LUQUE
(about 12 years ago)
DIV PED GENETICS AND GENOMIC MED
SAINT LOUIS, MO 63110-1002 Phone: (314) 454-6093 Fax: (844) 965-9624
CHICAGO, IL 60674-2011 Phone: (314) 454-6093 Fax: (844) 965-9624
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for JORGE GRANADILLO DE LUQUE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | MO | 200054630 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207SG0201X - Medical Genetics / Clinical Genetics (M.D.) (Primary) |
MO | 2017041051 |
| 208000000X - Pediatrics |
MO | 2017041051 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- Endpoint type
- FHIR URL
- Endpoint Description
- Content Type
- Affiliation
- Y
- Endpoint Location
-
1 CHILDRENS PL,
SAINT LOUIS, MO 77025-1669
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
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See the complete CMS Data Dissemination Notice here.