Blue Water Primary Care
NPI 1013896638 · Family Medicine Physician · Fort Gratiot, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Water Primary Care is a Family Medicine Physician organization in Fort Gratiot, MI (NPI 1013896638).
Provider details
- NPI number
- 1013896638
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ibrahim Dabaja, Chief Operating Officer(810) 363-9337
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-08-28
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Frequently asked questions
- What is Blue Water Primary Care's NPI number?
- Blue Water Primary Care's National Provider Identifier (NPI) is 1013896638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Water Primary Care?
- Blue Water Primary Care is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Water Primary Care located?
- Blue Water Primary Care's practice location on file with NPPES is 3953 24th Ave, Fort Gratiot, MI 48059-4193.
- What is Blue Water Primary Care's phone number?
- The practice phone number listed in the NPPES registry for Blue Water Primary Care is (734) 299-0712.
- Does Blue Water Primary Care accept Medicare?
- Blue Water Primary Care is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Water Primary Care?
- The authorized official listed on Blue Water Primary Care's NPPES record is Ibrahim Dabaja, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Water Primary Care's NPI active?
- Yes — Blue Water Primary Care's NPI (1013896638) is active in the NPPES registry as of the last update on 2026-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.