Individual provider Active NPI

Christina Leigh Cervieri, MD

  • Specialist
  • Moscow, ID
National Provider Identifier
1164427423
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101238216 Issued in VA
Practice address
2301 W a St
Moscow, ID 83843-4038
Phone
(208) 883-1135
Fax
(208) 892-0174
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD035512 DC
Specialist 174400000X D0063046 MD
Specialist 174400000X 0101238216 VA Primary

Addresses

Primary practice location

2301 W a St
Moscow, ID 83843-4038

Mailing address

PO Box 8007
Moscow, ID 83843-0507
Phone (208) 883-2224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617002684 ID Practitioner - Orthopedic Surgery 8224026208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0063046MDMDSpecialist
0101238216VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Christina L. Cervieri MD LLC CurrentSince Mar 1, 2020 Accepting new patients
Andrews Sports Medicine and Orthopaedic Center Past Accepting new patients
Alabama Sports Medicine and Ortho Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Washington Orthopaedic Center Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1164427423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8007",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430507",
            "telephone_number": "208-883-2224",
            "fax_number": "208-883-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W A ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434038",
            "telephone_number": "208-883-1135",
            "fax_number": "208-892-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVIERI",
        "first_name": "CHRISTINA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD035512",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0063046",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101238216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.