Individual provider Active NPI

James Bohnhoff

  • Pediatrics Physician
  • Portland, ME
National Provider Identifier
1194188045
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD26104 Issued in ME
Practice address
1577 Congress St
Portland, ME 04102-2169
Phone
(207) 661-1442
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD26104 ME Primary

Addresses

Primary practice location

1577 Congress St
Portland, ME 04102-2169

Mailing address

1577 Congress St
Portland, ME 04102-2169
Phone (207) 261-1442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20220830001571 ME Practitioner - Pediatric Medicine 5395088652 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26104MEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jul 3, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Aug 8, 2022 Accepting new patients
Maine Medical Partners Pediatrics Current Accepting new patients
Maine Medical Partners CurrentSince Aug 8, 2022 Accepting new patients
Maine Medical Partners Pediatrics CurrentSince Aug 8, 2022 Accepting new patients
Mainehealth CurrentSince Jul 3, 2023 Accepting new patients
Mainehealth Pediatrics Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

1577 Congress St
Portland, ME 04102
Phone (207) 662-1622

1577 Congress St
Ste 1
Portland, ME 04102
Phone (207) 662-1442

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: jbohnhoff554160@direct.mmc.mainehealth.org

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Pittsburgh School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainehealth 2,616 clinicians

Practice addresses (Care Compare)

1577 Congress St
Portland, ME 04102-2169

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1194188045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022169",
            "telephone_number": "207-261-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022169",
            "telephone_number": "207-661-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNHOFF",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD26104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.