Active NPI
Shulamith C Bonham, MD
- Internal Medicine Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 018586
- Practice address
- 180 Park Ave Ste 1
Portland, ME 04102-2927 - Phone
- (207) 874-2141
- NPI assigned
- Oct 3, 2007
- Last updated
- Apr 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 49489 | MN | |
| Hospitalist Physician | 208M00000X | 018586 | ME | |
| Internal Medicine Physician | 207R00000X | 018586 | ME | Primary |
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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Minnesota Medical School, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Portland Community Health CenterMainehealth
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
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018586 | ME | MD | Internal Medicine Physician |
| 49489 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients |
Locations
111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326
20 Portland St
Portland, ME 04101
Phone (207) 661-4701
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- shulamith.bonham.p1@direct.portlandchc.nextgenshare.com
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Farmington, ME
- NPI 1558305847
-
dba MaineHealth Franklin Hospital
- Critical Access Hospital
- Farmington, ME
- NPI 1922791417
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba MaineHealth Franklin Hospital
- General Acute Care Hospital
- Farmington, ME
- NPI 1609356419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.