Active NPI
Elida Librada Cervantes, DPM
- Podiatrist
- Huntsville, TX
National Provider Identifier
1992012595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1952
- Practice address
- 2115 Bush Dr
Huntsville, TX 77320-3425 - Phone
- (999) 999-9999
- NPI assigned
- Sep 3, 2010
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E5599 | CA | |
| Podiatrist | 213E00000X | 1952 | TX | Primary |
| Podiatrist | 213E00000X | MED-POD-LIC-147918 | MT |
Addresses
Primary practice location
2115 Bush Dr
Huntsville, TX 77320-3425
Mailing address
2115 Bush Dr
Huntsville, TX 77320-3425
Other names 1
- Elida Librada Cervantes-Gros
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5599 | CA | MD | Podiatrist |
| MED-POD-LIC-147918 | MT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Peck Tribes | Past | Accepting new patients | |
| Wellmed Medical Group, PA | Past | Accepting new patients |
Interoperability endpoints
- ecervantesgros459858@hisp.ehr.sutterhealth.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
-
- Federally Qualified Health Center (FQHC)
- Poplar, MT
- NPI 1609020080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1992012595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 BUSH DR",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773203425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 BUSH DR",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773203425",
"telephone_number": "999-999-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVANTES",
"first_name": "ELIDA",
"middle_name": "LIBRADA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-03",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E5599",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1952",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MT",
"license": "MED-POD-LIC-147918",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIDA",
"last_name": "CERVANTES-GROS",
"middle_name": "LIBRADA",
"credential": "DPM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.