Individual provider Active NPI

Elida Librada Cervantes, DPM

  • Podiatrist
  • Huntsville, TX
National Provider Identifier
1992012595
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1952 Issued in TX
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

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
E5599CAMDPodiatrist
MED-POD-LIC-147918MTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Peck Tribes PastSince Nov 8, 2025 Accepting new patients
Wellmed Medical Group, PA PastSince Feb 1, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.