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SHALVA ELIAVA
NPI 1417696345
Student in an Organized Health Care Education/Training Program in Englewood, NJ

Active since May 31, 2022PECOS EnrolledAccepts Medicare Assignment
350 ENGLE STREET, DEPARTMENT OF MEDICINE, ENGLEWOOD, NJ 07631(201) 894-3143 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2026, Jun 20, 2025, Mar 8, 2023 (3 updates tracked since 2023).

About Shalva Eliava NPPES

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

SHALVA ELIAVA (NPI 1417696345) is an individual student in an organized health care education/training program in Englewood, New Jersey and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417696345
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHALVA ELIAVA
Location Address350 ENGLE STREET, DEPARTMENT OF MEDICINEEnglewood, NJ 07631
Mailing Address350 Engle Street, Department Of MedicineEnglewood, NJ 07631 · (201) 894-3143
Phone(201) 894-3143
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 31, 2022
Last NPPES UpdateMarch 8, 20233 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
✔ NPI 1417696345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
350 ENGLE STREET, DEPARTMENT OF MEDICINE, Englewood, NJ 07631
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Kansas City and more.Insurance ›

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

Shalva Eliava 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 ID9638684368
PECOS Enrollment IDI20250712000122
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shalva Eliava reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Associates Of Englewood, PC
Same address
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
NPI 1952681918 (201) 608-2136
Kansas University Physicians Inc
1,100 mi
Obstetrics & Gynecology
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas enrollment
  • 2,139 clinicians in this Medicare group
NPI 1053457978 (913) 588-1227

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 9

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

SORANG KANG
Student in an Organized Health Care Education/Training Program
350 ENGLE STREET, DEPARTMENT OF MEDICINE
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3510
DR. OGHENETEJIRI GBEGBAJE M.D.
Student in an Organized Health Care Education/Training Program
350 ENGLE STREET, DEPARTMENT OF MEDICINE
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3143
MR. LEJUNE EVERTON CARVALHO MURDOCK M.D.
Student in an Organized Health Care Education/Training Program
350 ENGLE STREET, DEPARTMENT OF MEDICINE
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3000
DR. KARISHMA DEVI NARAIN M.B.B.S.
Internal Medicine
350 ENGLE STREET, DEPARTMENT OF MEDICINE
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3664
MRS. RAYAN WAHBI NASIR GASIM M.D
Student in an Organized Health Care Education/Training Program
350 ENGLE STREET, DEPARTMENT OF MEDICINE
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3143
OWN DUMAM MOHAMMAD KHRAISAT M.D.
Student in an Organized Health Care Education/Training Program
350 ENGLE STREET, DEPARTMENT OF MEDICINE
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3000
MS. SHREYA BHANDARI
Student in an Organized Health Care Education/Training Program
350 ENGLE STREET, DEPARTMENT OF MEDICINE
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3143
DR. APARNA SUBRAMANIAN IYER M.B.B.S.
Student in an Organized Health Care Education/Training Program
350 ENGLE STREET, DEPARTMENT OF MEDICINE
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3143

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 Shalva Eliava's NPI number?

The NPI number for Shalva Eliava is 1417696345. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Shalva Eliava located?

Shalva Eliava practices at 350 Engle Street, Department Of Medicine, Englewood, NJ 07631. The listed phone number is (201) 894-3143.

What is Shalva Eliava's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shalva Eliava enrolled in Medicare?

Yes. Shalva Eliava 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 Shalva Eliava's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shalva Eliava reassigns Medicare benefits to 2 organizations: Medical Associates Of Englewood, PC (Englewood, NJ) and Kansas University Physicians Inc (Kansas City, KS). 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 Shalva Eliava's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shalva Eliava accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list Shalva Eliava as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shalva Eliava affiliated with any hospitals?

According to CMS data, Shalva Eliava is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Shalva Eliava was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.