NPIMap

Shulamith C Bonham, MD

Individual provider Active NPI Internal Medicine Physician · Portland, ME

NPI 1659568673 · NPPES record last updated Apr 27, 2025

Key facts

NPI
1659568673
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
018586 (ME)
Practice address
180 Park Ave Ste 1
Portland, ME 04102-2927
Phone
(207) 874-2141
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 23

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.

Medicare Care Compare profile

Specialty
Hospitalist
Also: Internal Medicine
Education
University of Minnesota Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Community Health Center (37 clinicians)
Mainehealth (2,616 clinicians)

Practice addresses (Care Compare)

100 Brickhill Ave
Suite 301
Portland, ME 04106-1999
Phone (207) 874-2141

111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 779-3113

295 Park Ave
Portland, ME 04102-2911
Phone (207) 874-2141

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100 (apm)
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101108000707 ME Practitioner - Hospitalist
Practitioner - Internal Medicine		 9032304720 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018586MEMDInternal Medicine Physician
49489MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Mainehealth Current
since Apr 1, 2014		 Accepting new patients
Mainehealth Current
since Aug 9, 2025		 Accepting new patients
Mainehealth Current
since Nov 1, 2020		 Accepting new patients
Mainehealth Current
since Nov 1, 2020		 Accepting new patients

Locations

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

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

20 Portland St
Portland, ME 04101
Phone (207) 661-4701

Interoperability endpoints

  • Direct secure messaging: shulamith.bonham.p1@direct.portlandchc.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49489 MN
Hospitalist Physician 208M00000X 018586 ME
Internal Medicine Physician 207R00000X 018586 ME Yes

Addresses

Primary practice location

180 Park Ave Ste 1
Portland, ME 04102-2927

Mailing address

180 Park Ave
Portland, ME 04102-2957
Phone (207) 874-2141

Other practice location 1

20 Portland St
Healthcare for the Homeless/Portland Comm Health Ctr
Portland, ME 04101-2912
Phone (207) 874-8445

Other practice location 2

111 Franklin Health Cmns
Farmington, ME 04938-6144
Phone (207) 778-6031

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 27, 2025.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1659568673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARK AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022957",
            "telephone_number": "207-874-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PARK AVE STE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022927",
            "telephone_number": "207-874-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Portland St",
            "address_2": "Healthcare for the Homeless/Portland Comm Health Ctr",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012912",
            "country_code": "US",
            "telephone_number": "207-874-8445",
            "fax_number": "207-874-8975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Franklin Health Cmns",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "ME",
            "postal_code": "049386144",
            "country_code": "US",
            "telephone_number": "207-778-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONHAM",
        "first_name": "SHULAMITH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "49489",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "018586",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "018586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

All providers in Portland, ME · Internal Medicine Physician in Maine

Sources for this page

Verify at the official NPI Registry.