Active NPI
Suzanna P Boka, MD
- Internal Medicine Physician
- Naples, FL
National Provider Identifier
1457436677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 216489
- Practice address
- 8855 Immokalee Rd
Naples, FL 34120-3921 - Phone
- (239) 331-8520
- Fax
- (239) 331-8564
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 216489 | NY | Primary |
Addresses
Primary practice location
8855 Immokalee Rd
Naples, FL 34120-3921
Mailing address
28271 Jeneva Way
Bonita Springs, FL 34135-8514
Phone (518) 505-5331
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141830850 | Other | TAX ID | |
| 02112696 | Medicaid | NY | |
| SB0364J210 | Other | BCBS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Internal Medicine Specialists, PA | Internal Medicine | Current | Accepting new patients |
| Ultra Care Medical Group Inc | Past | Accepting new patients | |
| Vava Partners LLC | Past | Accepting new patients |
Locations
5248 Red Cedar Dr
Ste 102
Fort Myers, FL 33907
Phone (239) 208-2790
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Naples, FL
- NPI 1871861229
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1215914072
-
- Community/Behavioral Health Agency
- Lehigh Acres, FL
- NPI 1629638028
-
- Primary Care Clinic/Center
- Naples, FL
- NPI 1669859674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1457436677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28271 JENEVA WAY",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341358514",
"telephone_number": "518-505-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8855 IMMOKALEE RD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341203921",
"telephone_number": "239-331-8520",
"fax_number": "239-331-8564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOKA",
"first_name": "SUZANNA",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "216489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "141830850",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02112696",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "SB0364J210",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.