Victor Jose Anciano Granadillo, MD - Medicare Orthopedic Surgery in Louisville, KY

Victor Jose Anciano Granadillo, MD is a medicare enrolled "Orthopaedic Surgery" physician in Louisville, Kentucky. He went to Harvard Medical School and graduated in 2015 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Kentucky Orthopedic Rehabilitation Llc, University Of Louisville Physicians Inc and his current practice location is 4402 Churchman Ave Ste 300, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 363-0588.

Victor Jose Anciano Granadillo is licensed to practice in Kentucky (license number 55434) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841686995.

Contact Information

Victor Jose Anciano Granadillo, MD
4402 Churchman Ave Ste 300,
Louisville, KY 40215-3101
(502) 363-0588
(502) 363-0972

Map and Direction




Physician's Profile

Full NameVictor Jose Anciano Granadillo
GenderMale
SpecialityOrthopedic Surgery
Experience9 Years
Location4402 Churchman Ave Ste 300, Louisville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Victor Jose Anciano Granadillo attended and graduated from Harvard Medical School in 2015
  NPI Data:
  • NPI Number: 1841686995
  • Provider Enumeration Date: 04/15/2015
  • Last Update Date: 08/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698082915
  • Enrollment ID: I20210817003198

Medical Identifiers

Medical identifiers for Victor Jose Anciano Granadillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841686995NPI-NPPES
0397730024OtherNCNSC#
300053739MedicaidIN
7100757450MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 55434 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jewish Hospital & St Mary's HealthcareLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kentucky Orthopedic Rehabilitation Llc0345157293731
University Of Louisville Physicians Inc34767255991111

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Victor Jose Anciano Granadillo allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Louisville Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Victor Jose Anciano Granadillo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Victor Jose Anciano Granadillo, MD
Po Box 909,
Louisville, KY 40201-0909

Ph: (502) 588-0328
Victor Jose Anciano Granadillo, MD
4402 Churchman Ave Ste 300,
Louisville, KY 40215-3101

Ph: (502) 363-0588

Reviews and Comments


Orthopaedic Surgery Doctors in Louisville, KY

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Dr. Shari Rosenberg Gabriel, M.D.
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Rolando M Puno, MD
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Frank S. Wood, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.