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SAMIR A SHARRAK DO
NPI 1740845395
Orthopaedic Surgery - Sports Medicine in Morris, IL

Active since May 08, 2019PECOS Enrolled
1051 W US ROUTE 6 STE 100, MORRIS, IL 60450(815) 942-4875 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2026, Jul 1, 2025, Jun 21, 2020 and 1 more (4 updates tracked since 2019).

About Samir A Sharrak Do NPPES

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

SAMIR A SHARRAK DO (NPI 1740845395) is an individual sports medicine provider in Morris, Illinois, licensed in Illinois (036.181339) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740845395
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameSAMIR A SHARRAKCredential: DO
Location Address1051 W US ROUTE 6 STE 100Morris, IL 60450-3370
Mailing Address725 School St Ste AMorris, IL 60450-1207
Phone(815) 942-4875
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2019
Enumeration DateMay 8, 2019
Last NPPES UpdateAugust 14, 20264 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1740845395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in IL · 036.181339
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 036.181339 (IL)
1051 W US ROUTE 6 STE 100, Morris, IL 60450
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Secondary Practice Locations 2

Location 11306 Gemini Cir Ste 2Ottawa, IL 61350-1695 · Phone (815) 433-0850
Location 21450 E Division StDiamond, IL 60416-6050 · Phone (815) 942-4875

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samir A Sharrak Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759619505
PECOS Enrollment IDI20260826002098
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 Reassignment

Medicare enrollment records show Samir Sharrak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Morris Hospital
8.0 mi
General Practice
150 W HIGH ST
Morris, IL 60450
  • Reassigned Medicare billing, Illinois enrollment
  • 207 clinicians in this Medicare group
NPI 1558466268 (815) 942-2932

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAELOR ANNE STUEDEMANN NP
Nurse Practitioner (Family)
1051 W US ROUTE 6 STE 100
MORRIS, IL 60450
Grundy County (815) 942-4875
MR. AHMED MOSTAFA ELDIB MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1051 W US ROUTE 6 STE 100
MORRIS, IL 60450
Grundy County (815) 942-4875
DR. STEPHEN TREACY M.D.
Orthopaedic Surgery
1051 W US ROUTE 6 STE 100
MORRIS, IL 60450
Grundy County (815) 942-4875
JESSIE GAIL FIX
Registered Nurse
1051 W US ROUTE 6 STE 100
MORRIS, IL 60450
Grundy County (815) 942-4875
LUKAS JAKUBONIS PA-C
Physician Assistant
1051 W US ROUTE 6 STE 100
MORRIS, IL 60450
Grundy County (815) 942-4875
AUSTIN J SPOON NP
Nurse Practitioner (Family)
1051 W US ROUTE 6 STE 100
MORRIS, IL 60450
Grundy County (815) 942-4875
ROBERT CHARLES WILLIAMS M.D.
Orthopaedic Surgery
1051 W US ROUTE 6 STE 100
MORRIS, IL 60450
Grundy County (815) 942-4875
KRISTEN E DION MAT, ATC, OTC
Specialist/Technologist (Athletic Trainer)
1051 W US ROUTE 6 STE 100
MORRIS, IL 60450
Grundy County (815) 942-4875

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 Samir Sharrak's NPI number?

The NPI number for Samir Sharrak is 1740845395. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Where is Samir Sharrak located?

Samir Sharrak practices at 1051 W Us Route 6 Ste 100, Morris, IL 60450. The listed phone number is (815) 942-4875.

What is Samir Sharrak's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Samir Sharrak enrolled in Medicare?

Yes. Samir Sharrak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samir Sharrak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samir Sharrak reassigns Medicare benefits to Morris Hospital (Morris, IL). The 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 Samir Sharrak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samir Sharrak affiliated with any hospitals?

According to CMS data, Samir Sharrak is affiliated with Mercy Health - Fairfield Hospital.

When was this NPI record last updated?

The NPPES record for Samir Sharrak was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.