Active NPI
Ciro Kirk Demartino, M.D.
- Family Medicine Physician
- Marco Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 85819
- Practice address
- 950 N Collier Blvd
Ste 308
Marco Island, FL 34145-2722 - Phone
- (239) 642-5552
- Fax
- (239) 642-5565
- NPI assigned
- May 24, 2005
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME 85819 | FL | Primary |
Addresses
Primary practice location
950 N Collier Blvd
Ste 308
Marco Island, FL 34145-2722
Mailing address
950 N Collier Blvd
Ste 308
Marco Island, FL 34145-2722
Phone (239) 642-5552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79208 | Other | FL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
950 N Collier Blvd
Suite 308
Marco Island, FL 34145-2722
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 85819 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C. Kirk Demartino M.D. PA | Family Medicine | Current | Accepting new patients |
Locations
950 N Collier Blvd
Ste 308
Marco Island, FL 34145
Phone (239) 642-5552
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Island Doctor
- Family Medicine Physician
- Marco Island, FL
- NPI 1033455910
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NCH Healthcare System Inc
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
dba Physicians Regiona Medical Center-Collier
- General Acute Care Hospital
- Naples, FL
- NPI 1215003348
-
dba Physicians Regional Medical Center-Pine Ridge
- General Acute Care Hospital
- Naples, FL
- NPI 1316992134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1780687467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N COLLIER BLVD",
"address_2": "STE 308",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341452722",
"telephone_number": "239-642-5552",
"fax_number": "239-642-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N COLLIER BLVD",
"address_2": "STE 308",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341452722",
"telephone_number": "239-642-5552",
"fax_number": "239-642-5565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARTINO",
"first_name": "CIRO",
"middle_name": "KIRK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 85819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "79208",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marco Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.