Individual provider Active NPI

Suzanna P Boka, MD

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1457436677
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216489 Issued in NY
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

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
141830850OtherTAX ID
02112696MedicaidNY
SB0364J210OtherBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170706002648 FL Practitioner - Internal Medicine 9931283132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Internal Medicine Specialists, PA Internal Medicine CurrentSince Jun 2, 2020 Accepting new patients
Ultra Care Medical Group Inc PastSince Apr 9, 2020 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.

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

Verify at the official NPI Registry.