Individual provider Active NPI

Sheldon Bruce Pike, M.D

  • Urology Physician
  • Hewlett, NY
National Provider Identifier
1225050412
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
168657 Issued in NY
Practice address
1185 Broadway
Hewlett, NY 11557-2323
Phone
(516) 239-8877
Fax
(516) 239-1104
NPI assigned
Jul 24, 2006
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 168657 NY Primary

Addresses

Primary practice location

1185 Broadway
Hewlett, NY 11557-2323

Mailing address

1500 Route 112 Ste 101
Port Jefferson Station, NY 11776-8054
Phone (631) 751-3000

Other identifiers 1

IdentifierTypeStateIssuer
01188678MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000701 NY Practitioner - Urology 8325003098 Reassigns benefits to 3 organizations
Practice locations: Forest Hills, NY; Lawrence, NY; New York, NY; Rockaway Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Icahn School of Medicine at Mount Sinai, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St John's Medical Services PCGroup PAC ID 1850314865, 89 clinicians
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7919

4008 Forley St
Elmhurst, NY 11373-1427
Phone (631) 751-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as group
Quality
78.68
Promoting interoperability
98
Improvement activities
40
Cost
82.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
168657NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St John's Medical Services PC CurrentSince Aug 1, 2011 Accepting new patients
Elite Uds LLC Current Accepting new patients
Rockaways ASC Development, LLC. CurrentSince Feb 28, 2020 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Dec 3, 2020 Accepting new patients
Gramercy Medical Services P.C. CurrentSince Jun 1, 2018 Accepting new patients
Pension Committee Joint Industry Board Past Accepting new patients
Peninsula Medical Services PC Past Accepting new patients
LHHN Medical, P.C. Urology Past Accepting new patients

Locations

3010 W 33rd St
Brooklyn, NY 11224
Phone (347) 713-8648

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

4008 Forley St
Flushing, NY 11373
Phone (718) 446-0270

7009 Austin St
Ste 2
Forest Hills, NY 11375
Phone (516) 239-8877

13916 91st Ave
Jamaica, NY 11435
Phone (718) 454-8556

290 Central Ave
Ste 107
Lawrence, NY 11559
Phone (516) 239-8877

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

1500 Route 112
Ste 101
Port Jefferson Station, NY 11776

11412 Beach Channel Dr
Rockaway Park, NY 11694
Phone (718) 318-6021

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sheldon.pike.1@14448.direct.athenahealth.com
  • Direct secure messaging: spike324370@northwell.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1225050412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112 STE 101",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768054",
            "telephone_number": "631-751-3000",
            "fax_number": "631-751-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572323",
            "telephone_number": "516-239-8877",
            "fax_number": "516-239-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "SHELDON",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "168657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01188678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.