Active NPI
Christina Leigh Cervieri, MD
- Specialist
- Moscow, ID
National Provider Identifier
1164427423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101238216
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0063046 | MD | MD | Specialist |
| 0101238216 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina L. Cervieri MD LLC | Current | 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.
-
- Orthopaedic Surgery Physician
- Potomac, MD
- NPI 1518504752
-
- Orthopaedic Surgery Physician
- Bham, AZ
- NPI 1487629101
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Birmingham, AL
- NPI 1679617526
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Orthopaedic Surgery Physician
- Oxon Hill, MD
- NPI 1952388134
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.