SHEENA SAMRA (M.D.) – Otolaryngology Physician, NPI 1336567080

SHEENA SAMRA (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 036171270 (IL). The NPI Number for SHEENA SAMRA (M.D.) is 1336567080

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SHEENA SAMRA (M.D.)
NPI
1336567080
Phone
(866) 600-2273
Address
1740 W TAYLOR ST
Enumeration Date
31 March 2014
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8889383838
Graduation Year
2014 (12 years ago)
PAC ID
9739499195
Group Practice PAC ID
0143657197
Professional Enrollment ID
I20240923003756
Address ID
IL600626821NO984XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

488 OTOLARYNGOLOGY in IL

Provider Addresses for SHEENA SAMRA (M.D.)

  • 1740 W TAYLOR ST

    CHICAGO, IL 606127232

    Phone: (866) 600-2273

    Type: Mailing

  • 10001 W INNOVATION DR STE 200

    MILWAUKEE, WI 532264851

    Phone: (888) 938-3838

    Fax: (888) 919-1083

    Type: Mailing

  • 984 WILLOW RD STE H

    NORTHBROOK, IL 600626821

    Phone: (888) 938-3838

    Fax: (888) 919-1083

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,533.

Total Amount is formed as General ($1,533) + Research ($0) + Ownership ($0) = $1,533.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($559).

Total Amount

$1,533

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,533

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240923003756IOtolaryngologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143657197View full group profile
NameSpecialtyState
Physician AssistantWI
Otolaryngology, Allergy/ImmunologyWI
Physician AssistantNY
Physician AssistantWI
Physician AssistantIL
Physician AssistantIL
-WI
Physician AssistantWI
Physician AssistantWI
Physician AssistantIL

Reviews

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Frequently asked questions

What is the registry number for SHEENA SAMRA (M.D.)?
The registry entry for SHEENA SAMRA (M.D.) shows NPI 1336567080.
Should I treat SHEENA SAMRA (M.D.) as an active provider?
Patients and plans typically see SHEENA SAMRA (M.D.) as active in the national extract.
What services align with SHEENA SAMRA (M.D.)'s listing?
SHEENA SAMRA (M.D.)'s public classification highlights Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHEENA SAMRA (M.D.)?
SHEENA SAMRA (M.D.) is associated with Chicago, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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