Individual provider Active NPI

Samip Morker, DO

  • Interventional Pain Medicine Physician
  • Chicago, IL
National Provider Identifier
1790914828
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
036132196 Issued in IL
Practice address
830 N Ashland Ave
1N
Chicago, IL 60622
Phone
(773) 280-7001
Fax
(773) 280-5797
NPI assigned
Jul 10, 2009
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036132196 IL
Interventional Pain Medicine Physician 208VP0014X 036132196 IL Primary

Addresses

Primary practice location

830 N Ashland Ave
1N
Chicago, IL 60622

Mailing address

PO Box 631
Lake Forest, IL 60045-0631
Phone (800) 444-6110

Other practice location 1

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 792-5177

Other practice location 2

2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 655-3000

Other practice location 3

7411 Lake St
River Forest, IL 60305
Phone (708) 938-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141029000007 IL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8729208186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stellar Anesthesia Specialists PLLCGroup PAC ID 1850824798, 11 clinicians
Stellar Pain and Spine SpecialistsGroup PAC ID 8628361276, 12 clinicians

Practice addresses (Care Compare)

830 N Ashland Ave
Suite 1N
Chicago, IL 60622-1111
Phone (773) 280-7001

830 N Ashland Ave
Suite 1N
Chicago, IL 60622-5684
Phone (773) 280-7001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
7.14 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
23.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036132196ILMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Pain and Spine Specialists Interventional Pain Medicine CurrentSince Feb 12, 2024 Accepting new patients
Stellar Anesthesia Specialists PLLC Pain Medicine CurrentSince Sep 1, 2024 Accepting new patients

Locations

2740 W Foster Ave
Ste 309
Chicago, IL 60625
Phone (773) 769-3141

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

2913 N Commonwealth Ave
Ste 400
Chicago, IL 60657
Phone (773) 665-3308

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

5215 N California Ave
Ste 600
Chicago, IL 60625
Phone (773) 989-6222

5215 N California Ave
Ste 880
Chicago, IL 60625
Phone (773) 293-8900

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

7411 Lake St
Ste L180
River Forest, IL 60305
Phone (708) 763-4781

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1790914828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450631",
            "telephone_number": "800-444-6110",
            "fax_number": "847-615-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N ASHLAND AVE",
            "address_2": "1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-280-7001",
            "fax_number": "773-280-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7435 W Talcott Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313707",
            "country_code": "US",
            "telephone_number": "773-792-5177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 N Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575640",
            "country_code": "US",
            "telephone_number": "773-655-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7411 Lake St",
            "address_purpose": "LOCATION",
            "city": "River Forest",
            "state": "IL",
            "postal_code": "60305",
            "country_code": "US",
            "telephone_number": "708-938-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORKER",
        "first_name": "SAMIP",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036132196",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036132196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.