DR. SHIDLEY PROPHETE I MD
NPI 1841751336
Family Medicine in Plainview, NY
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 Peconic Bay Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Shidley Prophete reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Riverhead, NY 11901
- Reassigned Medicare billing, New York enrollment
- 134 clinicians in this Medicare group
Middletown, NY 10940
- Reassigned Medicare billing, New York enrollment
- 78 clinicians in this Medicare group
Gloucester, VA 23061
- Reassigned Medicare billing, Virginia enrollment
- 1,097 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Peconic Bay Medical Center
Acute Care Hospitals · Riverhead, NYGarnet Health Medical Center
Acute Care Hospitals · Middletown, NYPhysician 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.
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.
PLAINVIEW, NY 11803
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.
Which organizations bill Medicare for Shidley Prophete's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shidley Prophete reassigns Medicare benefits to 4 organizations: North Shore-Lij Medical PC (Great Neck, NY), Central Suffolk Hospital (Riverhead, NY), Ulster Physician Medicine Services PC (Middletown, NY) and Riverside Physician Services Inc (Gloucester, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shidley Prophete's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shidley Prophete affiliated with any hospitals?
According to CMS data, Shidley Prophete is affiliated with Peconic Bay Medical Center and Garnet Health Medical Center.
When was this NPI record last updated?
The NPPES record for Shidley Prophete was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.
# Dr. Shidley Prophete I, MD · NPI 1841751336
Family Medicine physician in Plainview, New York. Individual provider, active in the CMS NPPES registry since March 27, 2019.
## Identity
- **NPI:** 1841751336 (Entity type: Individual)
- **Enumerated:** March 27, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 322627 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 888 OLD COUNTRY RD, Plainview, NY 11803-4914
- **Phone:** (516) 719-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); Central Suffolk Hospital (NPI 1043402050, Riverhead, NY); Ulster Physician Medicine Services PC (NPI 1194608489, Middletown, NY); Riverside Physician Services Inc (NPI 1790863645, Gloucester, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1841751336) · Data from the CMS NPPES public registry.