PALM COAST CARDIOVASCULAR INSTITUTE PL
NPI 1285881946
Specialist in Palm Coast, FL
About Palm Coast Cardiovascular Institute Pl NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PALM COAST CARDIOVASCULAR INSTITUTE PL (NPI 1285881946) is a healthcare organization registered as a specialist in Palm Coast, Florida and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Domenic Marini, Owner/medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Palm Coast Cardiovascular Institute Pl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Palm Coast Cardiovascular Institute Pl, which bills Medicare for the services this clinician delivers.
Clinician (1)
Palm Coast, FL 32137
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 10D1093201
Palm Coast Cardiovascular Institute Pl · Palm Coast, FLFrequently 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 Palm Coast Cardiovascular Institute Pl's NPI number?
The NPI number for Palm Coast Cardiovascular Institute Pl is 1285881946. It was assigned to this organization in the NPPES registry on August 25, 2008.
Where is Palm Coast Cardiovascular Institute Pl located?
Palm Coast Cardiovascular Institute Pl is located at 19 Old Kings Rd N Ste C101, Palm Coast, FL 32137. The listed phone number is (386) 446-6540.
What is Palm Coast Cardiovascular Institute Pl's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Palm Coast Cardiovascular Institute Pl enrolled in Medicare?
Yes. Palm Coast Cardiovascular Institute Pl is registered in the Medicare PECOS enrollment system.
When is Palm Coast Cardiovascular Institute Pl's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Palm Coast Cardiovascular Institute Pl?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Palm Coast Cardiovascular Institute Pl. 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 Palm Coast Cardiovascular Institute Pl hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1093201) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Palm Coast Cardiovascular Institute Pl was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Palm Coast Cardiovascular Institute Pl · NPI 1285881946
Specialist organization in Palm Coast, Florida. Organization record, active in the CMS NPPES registry since August 25, 2008.
## Identity
- **NPI:** 1285881946 (Entity type: Organization)
- **Enumerated:** August 25, 2008
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Domenic Marini, OWNER/MEDICAL DIRECTOR
## Practice location
- **Address:** 19 OLD KINGS RD N STE C101, Palm Coast, FL 32137-8261
- **Phone:** (386) 446-6540
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Cardiovascular Disease (Cardiology)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285881946) · Data from the CMS NPPES public registry.