Paul Bonheim, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

116260 Issued in NY

Practice address

521 Route 111
Hauppauge, NY 11788-4370

Phone

(631) 265-9645

Fax

(631) 265-5589

NPI assigned

Jul 27, 2005

Last updated

Sep 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

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 2

Specialty

Interventional Radiology

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Farmingdale Primary Care PCGroup PAC ID 0143416164, 3 clinicians

Union Square Medical Imaging and Mammography PCGroup PAC ID 1153376744, 5 clinicians

Glen Cove Radiologic Imaging LLCGroup PAC ID 6800282468, 2 clinicians

Island Family Medical Practice PCGroup PAC ID 8325068117, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glen Cove Radiologic Imaging LLC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1528715158
  Medicare reassignment Care Compare group NPD Authorized official
• Farmingdale Primary Care PC

  • Family Medicine Physician
  • Farmingdale, NY
  • NPI 1073820965
  Medicare reassignment Care Compare group NPD
• Island Family Medical Practice, PC

  • Family Medicine Physician
  • N Massapequa, NY
  • NPI 1437249513
  Medicare reassignment Care Compare group NPD
• Union Square Medical Imaging and Mammography PC

  • Mammography Clinic/Center
  • New York, NY
  • NPI 1912037102
  Medicare reassignment Care Compare group NPD
• A.P. New York Comprehensive Medical Care PC

  • Internal Medicine Physician
  • Smithtown, NY
  • NPI 1992249346
  Medicare reassignment NPD
• Internal Medicine Associates, PC

  dba Medical Associates

  • Internal Medicine Physician
  • Oakland Gardens, NY
  • NPI 1619188489

  Diagnostic Radiology

  Medicare reassignment NPD
• Lifeline Medical Imaging PC

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1154895076
  Medicare reassignment NPD
• Rapid Access Medical Diagnostics PLLC

  • Diagnostic Ultrasound Physician
  • Woodbury, NY
  • NPI 1053677278

  Diagnostic Radiology

  Medicare reassignment NPD
• Vantage Medical Associates PC

  • Multi-Specialty Clinic/Center
  • Far Rockaway, NY
  • NPI 1538642996
  Medicare reassignment NPD
• Ronald C Fagan MD, PC

  • Specialist
  • Farmingdale, NY
  • NPI 1023146198
  Medicare reassignment
• Zwanger & Pesiri Radiology Group, LLP

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
  • NPI 1477523413

  FL

  Medicare reassignment
• Bab Nuclear Radiology, PC

  dba BAB Radiology

  • Diagnostic Radiology Physician
  • Amityville, NY
  • NPI 1053355776
  Authorized official Same address or phone

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1235139775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "address_2": "SUIRE 108",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023027",
            "telephone_number": "631-517-8006",
            "fax_number": "631-517-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ROUTE 111",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884370",
            "telephone_number": "631-265-9645",
            "fax_number": "631-265-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHEIM",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "116260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00948090",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P00127939",
            "identifier": "RAILROAD MEDICARE",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Body in Balance Physical Therapy PLLC
• Andrew Bogart, MD
• Oksana Boldyrev
• Francesca Bonfiglio
• Catherine Elizabeth Bongo-Liselli
• Elizabeth A. Bonner, M.S.,CCC-SLP
• Jillian Bonner, M. ED., BCBA
• Christian Borg, RPH
• Caitlin Marie Borriello, N.P
• Jamie Borsman

• Diagnostic Radiology Physician in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.