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ISLAND DOCTOR
NPI 1033455910
Family Medicine in Marco Island, FL

Active since December 20, 2012CLIA 10D1030965 · Waiver
950 N COLLIER BLVD, SUITE 308, MARCO ISLAND, FL 34145(239) 642-5552(239) 642-5565 Get Directions Write a Review

NPPES record last updated: January 7, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Island Doctor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISLAND DOCTOR (NPI 1033455910) is a healthcare organization registered as a family medicine in Marco Island, Florida and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through September 20, 2028 and lists Ciro Kirk Demartino, Owner, as its authorized official.

NPPES Registry Identity

NPI1033455910
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameC. KIRK DEMARTINO M.D. PA
Location Address950 N COLLIER BLVD, SUITE 308Marco Island, FL 34145-2725
Mailing Address950 N Collier Blvd, Suite 308Marco Island, FL 34145-2725 · (239) 642-5552 · Fax (239) 642-5565
Phone(239) 642-5552
Fax(239) 642-5565
Organization SubpartNo
Authorized OfficialCiro Kirk DemartinoOwner · (239) 642-5552
Enumeration DateDecember 20, 2012
Last NPPES UpdateJanuary 7, 2013
✔ NPI 1033455910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME85819
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
950 N COLLIER BLVD, Marco Island, FL 34145
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Other Names 1

Doing Business AsIsland Doctor

Other Identifiers 1

Medicare UPINH91273FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Island Doctor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Island Doctor, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ciro Demartino, M.D.
Family Practice
NPI 1780687467
950 N COLLIER BLVD STE 308
Marco Island, FL 34145
(239) 642-5552
✔ PECOS3.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1030965

Island Doctor · Marco Island, FL
Active · expires Sep 20, 2028
CLIA Number10D1030965
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2026
Certificate Expiration DateSeptember 20, 2028
Laboratory DirectorCiro K. Demartino
Laboratory Phone(239) 642-5552
Laboratory LocationIsland Doctor950 N Collier Blvd Ste 308, Marco Island, FL 34145
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is C. Kirk Demartino M.D. PA's NPI number?

The NPI number for C. Kirk Demartino M.D. PA is 1033455910. It was assigned to this organization in the NPPES registry on December 20, 2012. The provider is doing business as Island Doctor.

Where is C. Kirk Demartino M.D. PA located?

C. Kirk Demartino M.D. PA is located at 950 N Collier Blvd Suite 308, Marco Island, FL 34145. The listed phone number is (239) 642-5552.

What is C. Kirk Demartino M.D. PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is C. Kirk Demartino M.D. PA enrolled in Medicare?

Yes. C. Kirk Demartino M.D. PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through C. Kirk Demartino M.D. PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to C. Kirk Demartino M.D. PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does C. Kirk Demartino M.D. PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1030965) is associated with this NPI, valid through September 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for C. Kirk Demartino M.D. PA was last updated on January 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.