NPIMap

Individual provider Active NPI

Charles Michael Granade, MD

  • Orthopaedic Surgery Physician
  • Louisville, KY
National Provider Identifier
1326543711
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
TP319 Issued in KY
Practice address
3810 Springhurst Blvd Ste 310
Louisville, KY 40241-6162
Phone
(502) 447-5633
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X TP319 KY Primary

Addresses

Primary practice location

3810 Springhurst Blvd Ste 310
Louisville, KY 40241-6162

Mailing address

3810 Springhurst Blvd Ste 310
Louisville, KY 40241-6162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241021000794 KY Practitioner - Orthopedic SurgeryPractitioner - Podiatry 2769712819 Reassigns benefits to 1 organization
I20250106002672 IN Practitioner - Orthopedic Surgery 2769712819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians
Louisville Hip and Knee InstituteGroup PAC ID 3779990080, 18 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480

201 S Main St
Leitchfield, KY 42754-1425
Phone (270) 230-1729

2031 Jeffersonville Commons Dr
Jeffersonville, IN 47130-8996
Phone (502) 447-5633

3810 Springhurst Blvd
Suite 310
Louisville, KY 40241-6162
Phone (502) 447-5633

Hospital & facility affiliations

  • Kort Home health agency, Jeffersonville, IN, CCN 157660
  • Caretenders Home health agency, Elizabethtown, KY, CCN 187145
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP319KYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Hip and Knee Institute Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients

Locations

2031 Jeffersonville Commons Dr
Jeffersonvlle, IN 47130
Phone (502) 447-5633

3810 Springhurst Blvd
Ste 310
Louisville, KY 40241
Phone (502) 447-5633

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22070/brand/1/csg/1/fhir/r4
  • Direct secure messaging: charles.granade.1@22070.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1326543711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 SPRINGHURST BLVD STE 310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 SPRINGHURST BLVD STE 310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416162",
            "telephone_number": "502-447-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANADE",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "TP319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.