DR. SHELINI SOOKLAL M.D.
NPI 1346516374
Internal Medicine - Gastroenterology in Wailuku, HI

Active since March 23, 2012PECOS Enrolled
221 MAHALANI ST, WAILUKU, HI 96793(808) 244-9056 Get Directions Write a Review

NPPES record last updated: November 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2021, Aug 12, 2020, Feb 8, 2019 (3 updates tracked since 2019).

About Dr. Shelini Sooklal M.d. NPPES

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

DR. SHELINI SOOKLAL M.D. (NPI 1346516374) is an individual gastroenterology provider in Wailuku, Hawaii, licensed in Washington (MD61036720) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Maui Memorial Medical Center, and maintains a secondary practice location in Edmonds.

NPPES Registry Identity

NPI1346516374
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SHELINI SOOKLALCredential: M.D.
Location Address221 MAHALANI STWailuku, HI 96793-2526
Mailing Address9500 S Dadeland Blvd Ste 200Miami, FL 33156-2866 · (786) 530-3820 · Fax (305) 675-3378
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 23, 2012
Last NPPES UpdateNovember 2, 20243 updates tracked since enumeration
NPPES CertifiedNovember 2, 2024
✔ NPI 1346516374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in WA · MD61036720✔ Licensed in HI · MD-23731✔ Licensed in PA · MD465307
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
221 MAHALANI ST, Wailuku, HI 96793

Secondary Practice Location 1

Location 121600 Highway 99 Ste 260Edmonds, WA 98026-8049 · Phone (425) 774-2650 ext. 7246 · Fax (425) 774-2643

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. Shelini Sooklal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850642323
PECOS Enrollment IDI20200818003762, I20240421000031
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

6

Medicare enrollment records show Shelini Sooklal reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
221 MAHALANI ST
Wailuku, HI 96793
  • Reassigned Medicare billing, Hawaii enrollment
  • 138 clinicians in this Medicare group
Gastroenterology
209 LILLY RD NE STE B
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 83 clinicians in this Medicare group
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
General Acute Care Hospital
2811 TIETON DRIVE
Yakima, WA 98902
  • Reassigned Medicare billing, Washington enrollment
  • 565 clinicians in this Medicare group
Pediatric Urology
761 5TH AVE STE D
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
Pulmonary Disease
153 BRODHEAD RD
Bethlehem, PA 18017
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 335 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
15 services15 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
15 services15 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maui Memorial Medical Center

Acute Care Hospitals · Wailuku, HI
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120002
Location221 Mahalani StreetWailuku, HI 96793 · Maui County
Birthing friendly

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96793 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
221 MAHALANI ST
WAILUKU, HI 96793
Emergency Medicine
221 MAHALANI ST
WAILUKU, HI 96793
Hospitalist
221 MAHALANI ST
WAILUKU, HI 96793
Hospitalist
221 MAHALANI ST
WAILUKU, HI 96793
General Acute Care Hospital
221 MAHALANI ST
WAILUKU, HI 96793
Anesthesiology
221 MAHALANI ST
WAILUKU, HI 96793
Emergency Medicine
221 MAHALANI ST
WAILUKU, HI 96793
Emergency Medicine
221 MAHALANI ST
WAILUKU, HI 96793

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 Shelini Sooklal's NPI number?

The NPI number for Shelini Sooklal is 1346516374. It was assigned to this individual provider in the NPPES registry on March 23, 2012.

Where is Shelini Sooklal located?

Shelini Sooklal practices at 221 Mahalani St, Wailuku, HI 96793. The listed phone number is (808) 244-9056.

What is Shelini Sooklal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shelini Sooklal enrolled in Medicare?

Yes. Shelini Sooklal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shelini Sooklal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelini Sooklal reassigns Medicare benefits to 6 organizations: Maui Health System A Kaiser Foundation Hospitals LLC (Wailuku, HI), Puget Sound Gastroenterology, PLLC (Olympia, WA), Kaiser Foundation Health Plan Of Washington (Renton, WA), Yakima Valley Memorial Physicians (Yakima, WA), Pinnacle Health Medical Services (Chambersburg, PA) and 1 more organization, listed in the Medicare section above. 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 Shelini Sooklal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelini Sooklal accept?

Health plans from HMSA, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shelini Sooklal 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.

Is Shelini Sooklal affiliated with any hospitals?

According to CMS data, Shelini Sooklal is affiliated with Maui Memorial Medical Center and Yakima Valley Memorial.

When was this NPI record last updated?

The NPPES record for Shelini Sooklal was last updated on November 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.