Organization Active NPI

Naples Blue Primary Care LLC

  • Family Medicine Physician
  • Bonita Springs, FL
National Provider Identifier
1376408849
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NAPLES BLUE PRIMARY CARE LLC
Practice address
9400 Fountain Medical CT Ste B-101
Bonita Springs, FL 34135-4523
Phone
(239) 325-8673
NPI assigned
Dec 17, 2025
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Ali T Zreik, MD
Title
Managing Physician
Phone
(313) 654-5223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9400 Fountain Medical CT Ste B-101
Bonita Springs, FL 34135-4523

Mailing address

1855 Veterans Park Dr Ste 203
Naples, FL 34109-0446
Phone (239) 325-8673

Other practice location 1

1855 Veterans Park Dr Ste 203
Naples, FL 34109-0446
Phone (239) 325-8673

Other identifiers 1

IdentifierTypeStateIssuer
1427092998MedicaidMI

National Provider Directory

National Provider Directory

Locations

9400 Fountain Medical Ct
Ste B101
Bonita Springs, FL 34135
Phone (239) 260-1033

1855 Veterans Park Dr
Ste 203
Naples, FL 34109
Phone (239) 325-8673

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1376408849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 VETERANS PARK DR STE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090446",
            "telephone_number": "239-325-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 FOUNTAIN MEDICAL CT STE B-101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354523",
            "telephone_number": "239-325-8673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Veterans Park Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341090446",
            "country_code": "US",
            "telephone_number": "239-325-8673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAPLES BLUE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "ZREIK",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "313-654-5223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427092998",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.