Active NPI
Pouya Shooliz, M.D.
- Neurology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME143378
- Practice address
- 1370 13TH Ave S Ste 215
Jacksonville, FL 32250-3206 - Phone
- (904) 249-1041
- Fax
- (904) 249-9764
- NPI assigned
- Mar 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME143378 | FL | Primary |
Addresses
Primary practice location
1370 13TH Ave S Ste 215
Jacksonville, FL 32250-3206
Mailing address
PO Box 41113
Jacksonville, FL 32203-1113
Phone (904) 376-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1370 13TH Ave S
Suite 215
Jacksonville Beach, FL 32250-3230
Phone (904) 249-1041
Hospital & facility affiliations
- Baptist Medical Center Beaches
- Baptist Health Medical Center - Jacksonville
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.46 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Neurology Inc | Neurology | Current | Accepting new patients |
Locations
1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041
Interoperability endpoints
- pshooliz28428@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Jacksonville, FL
- NPI 1598995599
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
dba Brooks Rehabilitation Hospital Bartram Campus
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
dba Brooks Rehabilitation
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1508228529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41113",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322031113",
"telephone_number": "904-376-4400",
"fax_number": "904-391-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 13TH AVE S STE 215",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322503206",
"telephone_number": "904-249-1041",
"fax_number": "904-249-9764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOOLIZ",
"first_name": "POUYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-28",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME143378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.