DR. SHALIZ POURKAVIANI MD
NPI 1467895474
Pediatrics - Neonatal-Perinatal Medicine in Brick, NJ

Active since April 09, 2013PECOS Enrolled
425 JACK MARTIN BLVD, BRICK, NJ 08724(407) 491-8708 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 29, 2026, Mar 15, 2025, Jan 12, 2022 and 4 more (7 updates tracked since 2019).

About Dr. Shaliz Pourkaviani Md NPPES

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

DR. SHALIZ POURKAVIANI MD (NPI 1467895474) is an individual neonatal-perinatal medicine provider in Brick, New Jersey, licensed in New Jersey (25MA10989300) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467895474
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. SHALIZ POURKAVIANICredential: MD
Location Address425 JACK MARTIN BLVDBrick, NJ 08724-7732
Mailing Address10259 Trout RdOrlando, FL 32836-6544 · (407) 491-8708
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateJanuary 29, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1467895474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in NJ · 25MA10989300✔ Licensed in CA · A155765✔ Licensed in NY · 285686
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License ME147211 (FL)
425 JACK MARTIN BLVD, Brick, NJ 08724

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shaliz Pourkaviani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183951114
PECOS Enrollment IDI20250923000172, I20251113002683
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

3

Medicare enrollment records show Shaliz Pourkaviani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Internal Medicine
53 COLUMBIA STREET
Rensselaer, NY 12144
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
Pediatrics
100 MCGREGOR ST
Manchester, NH 03102
  • Reassigned Medicare billing, New Hampshire enrollment
  • 17 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.

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.

Counselor (Mental Health)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Radiology (Radiation Oncology)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Physician Assistant
425 JACK MARTIN BLVD
BRICK, NJ 08724
Student in an Organized Health Care Education/Training Program
425 JACK MARTIN BLVD
BRICK, NJ 08724
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Nurse Practitioner (Family)
425 JACK MARTIN BLVD
BRICK, NJ 08724

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 Shaliz Pourkaviani's NPI number?

The NPI number for Shaliz Pourkaviani is 1467895474. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Shaliz Pourkaviani located?

Shaliz Pourkaviani practices at 425 Jack Martin Blvd, Brick, NJ 08724. The listed phone number is (407) 491-8708.

What is Shaliz Pourkaviani's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Shaliz Pourkaviani enrolled in Medicare?

Yes. Shaliz Pourkaviani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shaliz Pourkaviani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaliz Pourkaviani reassigns Medicare benefits to 3 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ), St. Peter's Hospital Of The City Of Albany (Rensselaer, NY) and Neonatal And Pediatric Intensivist Services Of New Hampshire, LLC (Manchester, NH). 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 Shaliz Pourkaviani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaliz Pourkaviani accept?

Health plans from Oscar Health and WellSense Health Plan list Shaliz Pourkaviani 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.

When was this NPI record last updated?

The NPPES record for Shaliz Pourkaviani was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.