DR. SHIDLEY PROPHETE I MD
NPI 1841751336
Family Medicine in Plainview, NY

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
888 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 719-3000 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shidley Prophete I Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHIDLEY PROPHETE I MD (NPI 1841751336) is an individual family medicine provider in Plainview, New York, licensed in New York (322627) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and maintains a secondary practice location in Yonkers.

NPPES Registry Identity

NPI1841751336
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHIDLEY PROPHETE ICredential: MD
Location Address888 OLD COUNTRY RDPlainview, NY 11803-4914
Mailing Address888 Old Country RdPlainview, NY 11803-4914 · (516) 719-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 27, 2019
Last NPPES UpdateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
NPI 1841751336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 322627
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
888 OLD COUNTRY RD, Plainview, NY 11803

Secondary Practice Location 1

Location 1127 S BroadwayYonkers, NY 10701-4006 · Phone (914) 378-7586

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shidley Prophete I Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587010418
PECOS Enrollment IDI20231027002379
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
282 services273 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330107
Location1 Heros WayRiverhead, NY 11901 · Suffolk County
Emergency services Birthing friendly

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Plainview Hospital

Acute Care Hospitals · Plainview, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330331
Location888 Old Country RoadPlainview, NY 11803 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
General Acute Care Hospital
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Physician Assistant (Surgical)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Dietitian, Registered
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Podiatrist (Foot & Ankle Surgery)
888 OLD COUNTRY RD
PLAINVIEW, NY 11803
Student in an Organized Health Care Education/Training Program
888 OLD COUNTRY RD
PLAINVIEW, NY 11803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shidley Prophete's NPI number?

The NPI number for Shidley Prophete is 1841751336. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Shidley Prophete located?

Shidley Prophete practices at 888 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 719-3000.

What is Shidley Prophete's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shidley Prophete enrolled in Medicare?

Yes. Shidley Prophete is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shidley Prophete affiliated with any hospitals?

According to CMS data, Shidley Prophete is affiliated with Kaleida Health, Ns/Lij Hs Southside Hospital, Peconic Bay Medical Center, Garnet Health Medical Center and Plainview Hospital.

When was this NPI record last updated?

The NPPES record for Shidley Prophete was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.