Active NPI
Shelini Sooklal, M.D.
- Gastroenterology Physician
- Wailuku, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD61036720
- Practice address
- 221 Mahalani St
Wailuku, HI 96793-2526 - Phone
- (808) 244-9056
- NPI assigned
- Mar 23, 2012
- Last updated
- Nov 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD-23731 | HI | |
| Gastroenterology Physician | 207RG0100X | MD465307 | PA | |
| Gastroenterology Physician | 207RG0100X | MD61036720 | WA | Primary |
Addresses
Primary practice location
221 Mahalani St
Wailuku, HI 96793-2526
Mailing address
9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (786) 530-3820
Other practice location 1
21600 Highway 99 Ste 260
Edmonds, WA 98026-8049
Phone (425) 774-2650 ext. 7246
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Samuel Mahelona Memorial Hospital
Practice addresses (Care Compare)
2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000
4643 Waimea Canyon Dr
Waimea, HI 96796
Phone (808) 338-8311
85 Maui Lani Pkwy
Wailuku, HI 96793-2416
Phone (808) 442-5700
PO Box
Waimea, HI 96796
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 44 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-23731 | HI | MD | Gastroenterology Physician |
| MD465307 | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Health System a Kaiser Foundation Hospitals LLC | Multi-Specialty | Current | Accepting new patients |
| Drexel University | Multi-Specialty | Current | Accepting new patients |
| Yakima Valley Memorial Physicians | Multi-Specialty | Current | Accepting new patients |
| Pinnacle Health Medical Services | Multi-Specialty | Current | Accepting new patients |
| Pinnacle Health Medical Services | Multi-Specialty | Current | Accepting new patients |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Puget Sound Gastroenterology, PLLC | Gastroenterology | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Multi-Specialty | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Multi-Specialty | Current | Accepting new patients |
| Maui Health System a Kaiser Foundation Hospitals LLC | Multi-Specialty | Current | Accepting new patients |
| Puget Sound Gastroenterology, PLLC | Multi-Specialty | Current | Accepting new patients |
| Drexel University | Multi-Specialty | Current | Accepting new patients |
| Drexel University | Multi-Specialty | Current | Accepting new patients |
Locations
1849 Wili Pa Loop
Wailuku, HI 96793
Phone (808) 242-2010
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530
1601 Cherry St
Ste 11511
Philadelphia, PA 19102
21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000
125 16th Ave E
Seattle, WA 98112
Phone (206) 326-3530
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
Interoperability endpoints
- shelini.sooklal@gastrohealth.eclinicaldirectplus.com
Organizations & group practices 16
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.
-
dba Maui Memorial Medical Center
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
Multi-Specialty
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
dba Drexel Psychology
- Psychologist
- Philadelphia, PA
- NPI 1902900095
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
dba PSG Division of Pathology
- Clinical Medical Laboratory
- Lynnwood, WA
- NPI 1689646838
Multi-Specialty
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Specialist
- Wailuku, HI
- NPI 1669834016
Multi-Specialty
-
dba Pennsylvania Ear Institute
- Audiologist
- Elkins Park, PA
- NPI 1104822253
Multi-Specialty
-
dba Drexel CNHP Nurse Practitioner Faculty Practice
- Nurse Practitioner
- Philadelphia, PA
- NPI 1790203669
Multi-Specialty
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
-
dba UPMC Concussion Program-Central PA
- Clinical Neuropsychologist
- Harrisburg, PA
- NPI 1235705658
Multi-Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Maui Memorial Medical Center
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
-
dba Confluence Health
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1306883228
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730505600000",
"number": "1346516374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 S DADELAND BLVD STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331562866",
"telephone_number": "786-530-3820",
"fax_number": "305-675-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932526",
"telephone_number": "808-244-9056"
}
],
"practiceLocations": [
{
"address_1": "21600 Highway 99 Ste 260",
"address_purpose": "LOCATION",
"city": "Edmonds",
"state": "WA",
"postal_code": "980268049",
"country_code": "US",
"telephone_number": "425-774-2650 x7246",
"fax_number": "425-774-2643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOOKLAL",
"first_name": "SHELINI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-23",
"last_updated": "2024-11-02",
"certification_date": "2024-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "HI",
"license": "MD-23731",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD465307",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD61036720",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "125 16th Ave E",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981125211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.