Individual provider Active NPI

Shelini Sooklal, M.D.

  • Gastroenterology Physician
  • Wailuku, HI
National Provider Identifier
1346516374
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD61036720 Issued in WA
Practice address
221 Mahalani St
Wailuku, HI 96793-2526
Phone
(808) 244-9056
NPI assigned
Mar 23, 2012
Last updated
Nov 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD-23731 HI
Gastroenterology Physician 207RG0100X MD465307 PA
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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, HI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180921001689 PA Practitioner - Gastroenterology 1850642323 Reassigns benefits to 2 organizations
I20200818003762 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 1850642323 Reassigns benefits to 3 organizations
I20240421000031 HI Practitioner - Gastroenterology 1850642323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, shared by 12 NPIs, 46 clinicians

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

ProcedureNumber of procedures
Colonoscopy44
Upper gastrointestinal (GI) endoscopy for acid reflux38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-23731HIMDGastroenterology Physician
MD465307PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Health System a Kaiser Foundation Hospitals LLC Multi-Specialty CurrentSince Apr 8, 2024 Accepting new patients
Drexel University Multi-Specialty CurrentSince Jul 25, 2018 Accepting new patients
Yakima Valley Memorial Physicians Multi-Specialty CurrentSince Jan 16, 2026 Accepting new patients
Pinnacle Health Medical Services Multi-Specialty CurrentSince Dec 1, 2025 Accepting new patients
Pinnacle Health Medical Services Multi-Specialty CurrentSince Dec 1, 2025 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Jan 16, 2026 Accepting new patients
Puget Sound Gastroenterology, PLLC Gastroenterology CurrentSince Sep 25, 2024 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 12, 2020 Accepting new patients
Kaiser Foundation Health Plan of Washington Multi-Specialty Current Accepting new patients
Kaiser Foundation Health Plan of Washington Multi-Specialty CurrentSince Aug 12, 2020 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Multi-Specialty CurrentSince Apr 8, 2024 Accepting new patients
Puget Sound Gastroenterology, PLLC Multi-Specialty Current Accepting new patients
Drexel University Multi-Specialty CurrentSince Jul 25, 2018 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

  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.