Active NPI
Damian Sooklal, MD
- Hospitalist Physician
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 0101239640
- Practice address
- 16000 Johnston Memorial Dr
Abingdon, VA 24211-7659 - Phone
- (276) 258-4050
- Fax
- (276) 258-4056
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101239640 | VA | |
| Hospitalist Physician | 208M00000X | 0101239640 | VA | Primary |
Addresses
Primary practice location
16000 Johnston Memorial Dr
Abingdon, VA 24211-7659
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356338495 | Medicaid | VA | |
| 1525573 | Medicaid | TN | |
| P01471268 | Other | VA | RAILROAD MEDICARE |
| P00413882 | Other | VA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Internal Medicine
- Education
- Howard University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000
Hospital & facility affiliations
- Ballad Health Homecare - Abingdon
- Johnston Memorial Hospital
- Smyth County Community Hospital
- Wellmont Bristol Regional Medical Center
- Russell County Hospital
- Buchanan General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Oxbow Physician Services LLC | Internal Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
16000 Johnston Memorial Dr
Fl 4
Abingdon, VA 24211
Phone (276) 258-1000
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
245 Medical Park Dr
Fl 1
Marion, VA 24354
Phone (276) 378-1341
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Big Stone Gap, VA
- NPI 1174808216
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Abingdon, VA
- NPI 1962998732
-
- General Acute Care Hospital
- Grundy, VA
- NPI 1225036346
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
- General Acute Care Hospital
- Lebanon, VA
- NPI 1891973939
-
- General Acute Care Hospital
- Marion, VA
- NPI 1073519377
-
- General Acute Care Hospital
- Marion, VA
- NPI 1194104687
-
- Durable Medical Equipment & Medical Supplies
- Marion, VA
- NPI 1750433389
Hospital
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1356338495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 JOHNSTON MEMORIAL DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117659",
"telephone_number": "276-258-4050",
"fax_number": "276-258-4056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOOKLAL",
"first_name": "DAMIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101239640",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101239640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356338495",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1525573",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01471268",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00413882",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.