Active NPI
Matthew Helmut Kulke, MD
- Medical Oncology Physician
- South Portland, ME
National Provider Identifier
1407823081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD29756
- Practice address
- 265 Western Ave Ste 2
South Portland, ME 04106-2458 - Phone
- (207) 661-0200
- Fax
- (207) 661-0299
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD29756 | ME | |
| Medical Oncology Physician | 207RX0202X | 80794 | MA | |
| Medical Oncology Physician | 207RX0202X | MD29756 | ME | Primary |
| Internal Medicine Physician | 207R00000X | 80794 | MA |
Addresses
Primary practice location
265 Western Ave Ste 2
South Portland, ME 04106-2458
Mailing address
265 Western Ave Ste 2
South Portland, ME 04106-2458
Phone (207) 661-0200
Other practice location 1
830 Harrison Ave
Boston, MA 02118-2905
Phone (617) 638-6428
Other practice location 2
100 Campus Dr Unit 108
Scarborough, ME 04074-7172
Phone (207) 303-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110057382A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of California, San Francisco School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Campus Dr
Scarborough, ME 04074-7172
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
265 Western Ave
Suite 2
South Portland, ME 04106-2458
Phone (207) 396-7606
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD29756 | ME | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Internal Medicine | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
100 Campus Dr
Unit 108
Scarborough, ME 04074
Phone (207) 303-3300
265 Western Ave
Ste 2
South Portland, ME 04106
Phone (207) 661-0200
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Pediatric Critical Care Medicine Physician
- Portland, ME
- NPI 1265536817
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763164800000",
"number": "1407823081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 WESTERN AVE STE 2",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062458",
"telephone_number": "207-661-0200",
"fax_number": "207-661-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 WESTERN AVE STE 2",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062458",
"telephone_number": "207-661-0200",
"fax_number": "207-661-0299"
}
],
"practiceLocations": [
{
"address_1": "830 Harrison Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182905",
"country_code": "US",
"telephone_number": "617-638-6428",
"fax_number": "617-638-5756",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Campus Dr Unit 108",
"address_purpose": "LOCATION",
"city": "Scarborough",
"state": "ME",
"postal_code": "040747172",
"country_code": "US",
"telephone_number": "207-303-1100",
"fax_number": "207-303-1110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KULKE",
"first_name": "MATTHEW",
"middle_name": "HELMUT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2025-11-15",
"certification_date": "2025-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD29756",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MA",
"license": "80794",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "ME",
"license": "MD29756",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "80794",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110057382A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; 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.