Providers, detail view

Paid after a list action

Providers on a Medicare revocation, OIG exclusion, SAM.gov or state exclusion list, or named in a Department of Justice, HHS-OIG or state attorney general enforcement release, whom Medicaid kept paying after the action. Tier A means the reason for the action concerns integrity, the NPI passes its check digit, and the name on the list agrees with the national registry. The dollars are payments after an action that should have triggered a screening check, not a determination that they were improper.

How each provider was matched (tier A, paid after the action)
matchNPIs$M after
Exact NPI, name verified39155.92

Every match here is by the NPI itself. List rows without an NPI are matched by name separately and never enter these figures.

File dates
T-MSIS provider spending, latest service month2024-12
T-MSIS enrollment segments, latest segment start2024-12-31
T-MSIS enrollment segments, latest dated segment end2026-12-31
Medicare revocations, latest effective date2026-05-27
OIG LEIE, latest exclusion date2026-08-20
SAM.gov, latest active date2026-09-04
State exclusion lists, latest action date2026-09-02
NPPES, latest deactivation date2026-08-09

The headline counts months Medicaid actually paid after the action, not enrollment status, because enrollment files go stale.

providerstatelistidentity checkaction datemonths paid afterpaid aftertier
EDGEWATER RECOVERY CENTER LLC
1619466141, organization
KYoig adjudicated
enforcement record (civil judgment): kentucky lab agrees to $4.9 million civil judgment and drug treatment center enters settlement to pay $2.2 million to resolve false claims act allegations
No NPI on the list; matched by name at high confidenceJan 30, 202411 Feb 2024 to Dec 2024$6.5MA
MATIAS CLINICAL LABORATORY INC
1962546176, organization
MOMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedAug 31, 201844 Sep 2018 to Apr 2022$3.8MA
EMPIRE MEDICAL LLC
1548629520, organization
DEMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJul 31, 20209 Aug 2020 to Apr 2021$2.4MA
BLAKES BLESSING HEALTH CARE INC.
1679896484, organization
TXTX Medicaid exclusion list
texas hhsc oig exclusions file (sept 5 2026)
Exact NPI, name verifiedJan 19, 202233 Feb 2022 to Oct 2024$2.1MA
KIUP KIM
1225242985, individual
AZCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedDec 10, 201852 Jan 2019 to Aug 2023$2.0MA
HEALTHSMART PACIFIC INC
1861407637, organization
MDOIG exclusion list
leie 1128b8 (other business)
Exact NPI, name verifiedApr 20, 202134 May 2021 to Feb 2024$1.6MA
DOYLE'S YELLOW CHECKER CAB, INC
1447440359, organization
MNND Medicaid exclusion list
state list extracted from https://www.hhs.nd.gov/sites/default/files/documents/provider-exclusion-list.xlsx (pandas claude colmap)
Exact NPI, name verifiedJan 24, 202411 Feb 2024 to Dec 2024$1.5MA
WE CARE TRANSPORTATION
1982736492, organization
KSOIG exclusion list
leie 1128b5 (transportation co)
Exact NPI, name verifiedJan 20, 201031 Jan 2018 to Jul 2020$4.4MA
ADVANCED SPINE AND PAIN CENTERS, PLLC
1215266267, organization
MDMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 19, 202123 Dec 2021 to Oct 2023$1.3MA
QUALITY HEALTHCARE MANAGEMENT INC
1194744185, organization
RIKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedOct 7, 202314 Nov 2023 to Dec 2024$1.1MA
INFINITY DIAGNOSTICS LABORATORY, INC
1851726731, organization
LANY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedOct 31, 20227 Nov 2022 to May 2023$1.0MA
MERCRIS HOME HEALTH INC
1407188543, organization
TXMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedMay 1, 202317 Jun 2023 to Oct 2024$899KA
SHANONE CHATMAN-ASHLEY
1831547868, individual
LAMedicare revocation list
424.535(a)(10) failure to document
Exact NPI, name verifiedOct 23, 202038 Nov 2020 to Dec 2023$884KA
FIRST IDEAL ENTERPRISES INC.
1740478270, organization
MIMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies
Exact NPI, name verifiedOct 1, 201838 Nov 2018 to Dec 2021$843KA
LINDA WARREN-WATSON
1518931856, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedOct 31, 202016 Nov 2020 to Jun 2022$828KA
QUEENS OPTOMETRIC CARE PLLC
1609064153, organization
NYMedicare revocation list
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice
Exact NPI, name verifiedOct 25, 202311 Nov 2023 to Sep 2024$777KA
QOL COMMUNICATION SERVICES, LLC
1336486448, organization
MDMedicare revocation list
424.535(a)(5) on-site review and 424.535(a)(9) failure to report
Exact NPI, name verifiedJun 12, 20246 Jul 2024 to Dec 2024$729KA
HISHAM SADEK
1619941614, individual
ILIN Medicaid exclusion list
state list extracted from https://www.in.gov/fssa/ompp/files/ompp terminations.xlsx (pandas claude colmap)
Exact NPI, name verifiedJul 15, 201554 May 2020 to Nov 2024$2.0MA
MADISON PRIMARY CARE, LLC
1730473745, organization
KYKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedApr 20, 202140 May 2021 to Aug 2024$612KA
NEW WAVE DIAGNOSTIC RADIOLOGY PLLC
1851702971, organization
NYMedicare revocation list
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice
Exact NPI, name verifiedAug 19, 202227 Sep 2022 to Dec 2024$580KA
RICHARD GOLEMBIOSKI
1831107150, individual
NJMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 4, 202048 Dec 2020 to Nov 2024$565KA
BHUPINDER BHANDARI MD INC
1447395736, organization
CAMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 23, 20229 Dec 2022 to Sep 2023$526KA
SALMAN AKBAR
1619081304, individual
VAMedicare revocation list
424.535(a)(13) prescribing authority
Exact NPI, name verifiedJul 13, 202227 Aug 2022 to Oct 2024$484KA
TOTAL CARE & REHABILITATION MEDICINE PC
1730321605, organization
NYMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedMay 4, 202230 Jun 2022 to Nov 2024$464KA
IVAN ANTONEVICH
1043256118, individual
NYCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedAug 12, 202139 Sep 2021 to Nov 2024$460KA
BERNARD OGON
1255509873, individual
NJMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedSep 25, 201915 Oct 2019 to Feb 2021$460KA
PRESTIGE MEDICAL SUPPLY INC
1366879603, organization
ARMedicare revocation list
424.535(a)(5) on-site review
Exact NPI, name verifiedSep 14, 202314 Oct 2023 to Nov 2024$450KA
ZAIN MEDICAL CENTER
1427416437, organization
WAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 22, 201913 Dec 2019 to Dec 2020$426KA
RICHARD HILL
1295823672, individual
VAMedicare revocation list
424.535(a)(13) prescribing authority
Exact NPI, name verifiedDec 30, 202224 Jan 2023 to Dec 2024$407KA
EHAB KODSI
1063594752, individual
NYMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedMay 4, 202227 Jun 2022 to Aug 2024$393KA
TRI-STATE VISITING HOME PHYSICIANS
1245671015, organization
PAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedSep 25, 201914 Oct 2019 to Jan 2021$377KA
DM OPTICAL INC
1457414286, organization
NYNY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedSep 22, 201626 Jan 2018 to Feb 2020$1.2MA
STAT CARE CLINICS
1467736165, organization
LAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedMar 1, 20247 Apr 2024 to Oct 2024$324KA
GORDON DENTAL ASSOCIATES, LTD.
1932372547, organization
INKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedFeb 17, 202135 Oct 2021 to Nov 2024$323KA
COMMUNITY CARE MEDICAL CLINICS INC
1891703922, organization
TXMedicare revocation list
424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedMar 2, 202019 Apr 2021 to Apr 2023$961KA
BRANTLEY NICHOLS
1265696769, individual
MSMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJul 24, 201817 Aug 2018 to Jul 2020$299KA
MOHAMED ASWAD
1871571406, individual
AZOIG exclusion list
leie 1128a1 (physician (md, do))
Exact NPI, name verifiedJan 20, 201655 Jan 2018 to Jul 2022$901KA
JANARDHAN GRANDHE MD A MEDICAL CORPORATION
1003058637, organization
CAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedOct 14, 202217 Nov 2022 to Mar 2024$269KA
JENNIFER JABLIN
1972872646, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedMar 3, 202318 Apr 2023 to Sep 2024$264KA
THOMAS RALEY
1518967207, individual
MDMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 19, 20219 Dec 2021 to Aug 2022$253KA
MARK RAMUS
1043375280, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJul 14, 202314 Aug 2023 to Sep 2024$244KA
MOHAMMAD HOQUE
1093811341, individual
MDMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJan 21, 202115 Feb 2021 to Apr 2022$241KA
WASHINGTON GASTROENTEROLOGY PC
1366549834, organization
VAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJan 21, 202115 Feb 2021 to Apr 2022$228KA
LAKKARAJ RAJASEKHAR
1083799365, individual
OHMedicare revocation list
424.535(a)(10) failure to document
Exact NPI, name verifiedSep 30, 202045 Oct 2020 to Jun 2024$226KA
TIMOTHY WILSON
1366582454, individual
NVMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJan 26, 202321 Feb 2023 to Dec 2024$192KA
NORTHSHORE CLINIC & CONSULTANTS, INC.
1720201163, organization
WIMedicare revocation list
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice
Exact NPI, name verifiedOct 26, 202314 Nov 2023 to Dec 2024$191KA
JEREMY INGRAM
1396946430, individual
FLKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedFeb 15, 202320 Mar 2023 to Oct 2024$183KA
JANARDHAN GRANDHE
1023058476, individual
CAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedOct 14, 20228 Nov 2022 to Jun 2023$174KA
FORTITUDE COUNSELING & RECOVERY CENTER, LLC
1265971626, organization
MAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 23, 202011 Dec 2020 to Oct 2021$172KA
MELVIN MATHEWS BERMUDEZ
1831297530, individual
PRMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedJan 22, 202032 Feb 2020 to Sep 2022$166KA
BRIDGEWAY CLINICS LLC
1609510809, organization
MOMO Medicaid exclusion list
state list extracted from https://mmac.mo.gov/wp-content/uploads/sanction-list-2026-08-31.xlsx (pandas claude colmap)
Exact NPI, name verifiedAug 25, 202315 Sep 2023 to Nov 2024$159KA
PATRICK CHAU
1992766299, individual
IAWA Medicaid exclusion list
state list extracted from https://www.hca.wa.gov/assets/billers-and-providers/termination-exclusion.xlsx (pandas claude colmap)
Exact NPI, name verifiedMay 26, 200641 Dec 2020 to Dec 2024$489KA
MICHAEL ADIX
1790709111, individual
GAMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedApr 18, 202311 May 2023 to Mar 2024$155KA
VACCINATION SERVICES OF AMERICA, INC.
1700072261, organization
MNMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedMay 11, 202113 Aug 2021 to Aug 2022$154KA
SOHRAB MOSHIRI
1528039138, individual
WAWA Medicaid exclusion list
state list extracted from https://www.hca.wa.gov/assets/billers-and-providers/termination-exclusion.xlsx (pandas claude colmap)
Exact NPI, name verifiedJan 9, 200983 Jan 2018 to Dec 2024$483KA
SAMIR WAHIB
1851353866, individual
PAMedicare revocation list
424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedJun 7, 202312 Jul 2023 to Nov 2024$153KA
TWIN CITIES CARE SERVICES
1821269275, organization
MNOIG exclusion list
leie 1128a1 (other business)
Exact NPI, name verifiedJun 20, 20177 May 2024 to Nov 2024$471KA
ZAVIER ASH
1770569204, individual
GAMedicare revocation list
424.535(a)(14) improper prescribing practices
Exact NPI, name verifiedMar 16, 202232 Apr 2022 to Nov 2024$148KA
MICHAEL I KELLER M.D. INC
1861593063, organization
AZCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedDec 10, 202018 Jan 2021 to Jun 2022$141KA
HIGHLAND MEADOWS COUNSELING CENTER, INC.
1558628545, organization
MNMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedOct 31, 20239 Nov 2023 to Jul 2024$138KA
LABORATORY RX, LLC
1689923989, organization
VAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 19, 20218 Dec 2021 to Jul 2022$132KA
BRENTON D. WYNN, MD INC
1598953960, organization
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedMay 23, 202227 Jun 2022 to Oct 2024$125KA
MICHAEL BAKER
1912982927, individual
INKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedJan 4, 202410 Feb 2024 to Nov 2024$119KA
BAKER CHIROPRACTIC CENTER PSC
1851570287, organization
INKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedJan 4, 202410 Feb 2024 to Nov 2024$119KA
HASIB SARIJ
1992888184, individual
NYMedicare revocation list
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice
Exact NPI, name verifiedFeb 16, 202410 Mar 2024 to Dec 2024$119KA
ISLAND PAIN SPECIALIST, PC
1972774529, organization
NYMedicare revocation list
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice
Exact NPI, name verifiedFeb 16, 202410 Mar 2024 to Dec 2024$119KA
UVIENOME SAKOR
1508928201, individual
GAMedicare revocation list
424.535(a)(13) prescribing authority
Exact NPI, name verifiedJul 1, 202213 Aug 2022 to Aug 2023$116KA
DELAWARE WALK-IN MEDICAL, LLC
1386153211, organization
DEMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedJul 31, 20209 Aug 2020 to Apr 2021$114KA
MODERN MEDICAL TESTING, P.C.
1639600604, organization
NYNY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedJul 9, 201911 Aug 2019 to Aug 2020$104KA
BAPTIST PHYSICIAN ASSOCIATES LLC
1235128646, organization
ALMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedAug 24, 202133 Sep 2021 to Jul 2024$100KA
FRANCIS LUCIANO
1689058992, individual
AZCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJan 5, 202410 Feb 2024 to Dec 2024$100KA
SOUTHERN WESTCHESTER DIABETES, PC
1255305900, organization
NYNY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedDec 4, 201832 Mar 2019 to Oct 2024$99KA
COTTAGE HEALTH CARE SERVICES, INC
1386771657, organization
NCMedicare revocation list
424.535(a)(1) noncompliance (dme standards not met) and 424.535(a)(23) violation of provider and supplier standards
Exact NPI, name verifiedDec 5, 20237 May 2024 to Dec 2024$87KA
CARE CENTER RHODE ISLAND LLC
1225549298, organization
RIMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(3) felonies
Exact NPI, name verifiedDec 1, 201767 Apr 2018 to Oct 2023$270KA
JOSE VELASQUEZ
1912941436, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedOct 30, 201317 Apr 2020 to Aug 2021$265KA
DANIEL JUNG
1942434535, individual
GANY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedJul 20, 201478 Jan 2018 to Dec 2024$264KA
ROXANNE EDWARDS
1154468734, individual
SCMedicare revocation list
424.535(a)(10) failure to document
Exact NPI, name verifiedOct 2, 202023 Jul 2021 to Nov 2024$82KA
ROBERT HARVEY
1659357598, individual
LAMedicare revocation list
424.535(a)(12) other program termination (medicaid)
Exact NPI, name verifiedJan 6, 200750 Jan 2018 to Sep 2022$251KA
EUGENE S MACKIE MD PA
1295789782, organization
TXMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedSep 7, 201833 Nov 2018 to Sep 2023$74KA
CLINICA LATINA HEALTHCARE GROUP LLC
1356447387, organization
AZMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedOct 6, 20218 Nov 2021 to Jun 2022$69KA
PAUL TOBIN
1295816106, individual
NCMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid)
Exact NPI, name verifiedJan 6, 20236 Jul 2024 to Dec 2024$68KA
EUGENE MACKIE
1407801103, individual
TXMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedSep 7, 201833 Nov 2018 to Sep 2023$68KA
ARSHJOT AHUJA
1104088178, individual
NYNY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedMay 5, 201525 Jan 2018 to Jan 2022$214KA
BURBANK PREFERRED PROVIDER MEDICAL GROUP, INC
1871826917, organization
CAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedOct 21, 202024 Nov 2020 to Dec 2022$67KA
ADAM MEDICAL EQUIPMENT INC
1538334222, organization
MDMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedDec 13, 202311 Jan 2024 to Nov 2024$66KA
KATRIN MOSKOWITZ
1285063446, individual
RIMedicare revocation list
424.535(a)(10) failure to document
Exact NPI, name verifiedSep 24, 202034 Oct 2020 to Oct 2024$63KA
JAEWOOK CHOI
1740533728, individual
NYMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedMar 31, 20237 Apr 2023 to Oct 2023$63KA
BLUE MEDICAL SERVICES, P.C.
1396112298, organization
NYMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedSep 29, 202213 Oct 2022 to Oct 2023$62KA
ALISON BARTON
1285962332, individual
COCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedFeb 8, 20236 Mar 2023 to Aug 2023$58KA
AMAZING GRACE FAMILY DENTISTRY, PC
1124208194, organization
TXTX Medicaid exclusion list
texas hhsc oig exclusions file (sept 5 2026)
Exact NPI, name verifiedSep 7, 20186 Oct 2018 to Apr 2019$57KA
KAREN BUTLER
1902858848, individual
GAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedDec 17, 201914 Jan 2020 to Feb 2021$55KA
ST. FRANCIS MEDICAL GROUP, P.C.
1417388364, organization
MNMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 29, 20228 Dec 2022 to Jul 2023$55KA
CESAR RODRIGUEZ
1538380928, individual
SCCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedSep 16, 20207 Oct 2020 to Apr 2021$53KA
ANCHOR MEDICAL LLC
1699775973, organization
MNMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedApr 21, 202214 May 2022 to Jun 2023$52KA
BRENTON WYNN
1528069820, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedMay 23, 20226 Jun 2022 to Nov 2022$52KA
MILAGROS RIVERA
1366431660, individual
GAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 26, 201919 Dec 2019 to Nov 2021$52KA
HARROGATE FAMILY & HEALTH CARE, INC.
1689831802, organization
TNKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedJun 5, 20208 Jul 2020 to Feb 2021$51KA
SYNERGY HEALTH SYSTEMS
1821652603, organization
VAdoj adjudicated
enforcement record (pleaded guilty): suffolk services provider pleads guilty to healthcare fraud
No NPI on the list; matched by name at high confidenceAug 26, 20244 Sep 2024 to Dec 2024$510KA
THOMAS HUGHES
1689668642, individual
ININ Medicaid exclusion list
state list extracted from https://www.in.gov/fssa/ompp/files/ompp terminations.xlsx (pandas claude colmap)
Exact NPI, name verifiedNov 30, 201642 Jan 2020 to Jun 2023$152KA
PHLEBXPRESS
1174906432, organization
MNMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJan 20, 202314 Feb 2023 to Mar 2024$45KA
AMRISH PATEL
1871755025, individual
GAMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedApr 19, 201766 Jan 2018 to Jun 2023$135KA
FA 1ST SOLUTIONS
1265020051, organization
ILMedicare revocation list
424.535(a)(8)(i) abuse of billing privileges
Exact NPI, name verifiedMar 1, 20247 Apr 2024 to Oct 2024$43KA
MILESTONE COMMUNITY DEVELOPMENT CENTER
1700546561, organization
MSMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedFeb 6, 20233 Mar 2023 to May 2023$415KA
MANE SHAH
1477714574, individual
AZMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedAug 16, 201815 Aug 2020 to Dec 2021$40KA
TAMMY DOBBIN
1346902830, individual
ILMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 9, 202113 Mar 2022 to Mar 2023$127KA
QUALITY FAMILY HOSPICE CARE INC
1043897242, organization
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJul 18, 20244 Aug 2024 to Nov 2024$375KA
TAMMY SWITZER
1801221569, individual
COCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJul 7, 202216 Sep 2022 to Dec 2023$37KA
RAPID HEALTHCARE LABORATORY LLC
1003560624, organization
MNMedicare revocation list
424.535(a)(5) on-site review and 424.535(a)(9) failure to report
Exact NPI, name verifiedJun 4, 20241 Jul 2024 to Jul 2024$369KA
MARATHON HOSPICE CARE INC.
1992327514, organization
CAMedicare revocation list
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice
Exact NPI, name verifiedJul 6, 20244 Aug 2024 to Nov 2024$368KA
OTYLIA PRIMARY CARE, LLC
1437704079, organization
MSMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedDec 6, 202221 Jan 2023 to Sep 2024$37KA
YITZCHOK KURTZER
1154321891, individual
NJNY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedSep 29, 202132 Oct 2021 to May 2024$37KA
RASOUL MONTAZERI
1992068191, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedOct 11, 201914 Nov 2019 to Mar 2022$35KA
GEORGE VITO
1003888298, individual
NCMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(3) felonies
Exact NPI, name verifiedJul 10, 202124 Aug 2021 to Jul 2023$35KA
TANNA SKINNER
1861918401, individual
COCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedOct 21, 20218 Jan 2022 to Aug 2022$34KA
COMPREHENSIVE MEDICAL DIAGNOSTIC, PC
1619103470, organization
NJMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedApr 30, 201833 Jul 2021 to Nov 2024$105KA
FUELLING & ASSOCIATES LLC
1588735930, organization
MOMedicare revocation list
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice
Exact NPI, name verifiedOct 27, 20226 Nov 2022 to Apr 2023$32KA
NICOLAS AGUILAR
1215074679, individual
TXMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedMay 8, 201921 Mar 2020 to Mar 2022$102KA
CHRISTIAN OCONNOR
1962651836, individual
CTNY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedOct 3, 202119 Feb 2022 to Oct 2023$32KA
MARGARET EASLEY
1801860507, individual
CAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedOct 10, 201911 Nov 2019 to Mar 2021$32KA
RAJASHAKHER REDDY
1568448421, individual
GANY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedSep 6, 201131 Oct 2021 to Nov 2024$96KA
KELLY TURNER
1700808243, individual
TXTX Medicaid exclusion list
texas hhsc oig exclusions file (sept 5 2026)
Exact NPI, name verifiedOct 22, 201814 Dec 2021 to Apr 2023$89KA
CHRISTA STAPLES
1740319839, individual
MSCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedNov 30, 202210 Dec 2022 to Dec 2023$28KA
ALFA DENTAL AND DENTURE CENTER LLC
1841051844, organization
WAWA Medicaid exclusion list
state list extracted from https://www.hca.wa.gov/assets/billers-and-providers/termination-exclusion.xlsx (pandas claude colmap)
Exact NPI, name verifiedOct 12, 20237 Mar 2024 to Nov 2024$86KA
MALINI RAO
1649456005, individual
NYNY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedApr 18, 201927 Jan 2020 to Jun 2022$85KA
ACHIEVE BEHAVIORAL HEALTH PA
1376294041, organization
SCMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies
Exact NPI, name verifiedMay 24, 202317 Jun 2023 to Nov 2024$27KA
ALL STARS LLC
1043320591, organization
TXMedicare revocation list
424.535(a)(19) affiliation that poses an undue risk
Exact NPI, name verifiedJun 5, 20246 Jul 2024 to Dec 2024$26KA
KEVIN PATEL
1508285966, individual
LAMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(3) felonies
Exact NPI, name verifiedFeb 18, 20218 Mar 2021 to Nov 2021$26KA
SOFT TOUCH HOSPICE, INC
1669892584, organization
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedAug 17, 20242 Sep 2024 to Oct 2024$247KA
LANDER VALLEY FAMILY PRACTICE PC
1053686758, organization
WYMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedOct 9, 201911 Nov 2019 to Mar 2021$24KA
PO LONG LEW, D.O. A MEDICAL PROFESSIONAL CORP.
1558527572, organization
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedOct 13, 20219 Nov 2021 to Jul 2022$23KA
NORTHWEST MEDICAL LAB INC
1275288862, organization
ILMedicare revocation list
424.535(a)(4) false or misleading information
Exact NPI, name verifiedMay 23, 20245 Jun 2024 to Oct 2024$221KA
MAINOR ANTILLON-GALDAMEZ
1215962873, individual
LACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJan 18, 202312 May 2023 to Aug 2024$70KA
RUSSEL LEGREID
1407897978, individual
MIMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedMay 16, 201524 Jan 2018 to Jan 2020$68KA
JONATHAN WILHELM
1326199688, individual
MTMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedDec 4, 202017 Jan 2021 to Dec 2024$21KA
LELAND DAO
1346307097, individual
HIMedicare revocation list
424.535(a)(10) failure to document
Exact NPI, name verifiedSep 18, 202027 Dec 2020 to Mar 2024$21KA
PRIMARY CARE OF THE BLUEGRASS, LLC
1942463096, organization
KYKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedApr 20, 202134 May 2021 to May 2024$21KA
MMS IMAGING SERVICES LLC
1831417351, organization
LAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedFeb 11, 20216 Mar 2021 to Aug 2021$21KA
ANAND LALAJI
1649245747, individual
GAKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedNov 16, 202312 Dec 2023 to Nov 2024$19KA
TRENT CROSS
1053374454, individual
TNMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedSep 19, 20178 Jan 2018 to Aug 2018$61KA
BENJAMIN MEYER
1447235254, individual
MDMedicare revocation list
424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies
Exact NPI, name verifiedApr 22, 201921 May 2019 to Mar 2021$19KA
BERNADETTE IGUH
1326209354, individual
TXMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedOct 4, 201742 Jan 2018 to Jun 2021$55KA
GREATER CINCINNATI PAIN MANAGEMENT
1619044005, organization
KYKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedOct 31, 20207 Nov 2020 to May 2021$17KA
CLINICARE MEDICAL RESOURCES, INC.
1154493203, organization
INSC Medicaid exclusion list
state list extracted from https://www.scdhhs.gov/sites/dhhs/files/08%2027%202026%20sc%20medicaid%20sanctioned%20individuals patricia%20k%20godley.xlsx (pandas claude colmap)
Exact NPI, name verifiedAug 17, 201932 Nov 2021 to Nov 2024$16KA
MITCHELL SIMONS
1215003355, individual
KYKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedOct 31, 20206 Nov 2020 to Apr 2021$16KA
KYUNG BOEN
1942209770, individual
WAWA Medicaid exclusion list
state list extracted from https://www.hca.wa.gov/assets/billers-and-providers/termination-exclusion.xlsx (pandas claude colmap)
Exact NPI, name verifiedApr 7, 201716 Dec 2020 to Jul 2024$50KA
KRISTA PINE
1215030549, individual
NCCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedApr 21, 201517 Jan 2018 to Jul 2020$48KA
JOSEPH JURAND
1841280765, individual
MDMD Medicaid exclusion list
state list extracted from https://health.maryland.gov/mmcp/provider/documents/sanctioned-list/state of md sanctioned providers.xlsx (pandas claude colmap)
Exact NPI, name verifiedSep 11, 20158 Jan 2019 to Aug 2019$48KA
ROOZBEH BADII
1205023512, individual
MDOIG exclusion list
leie 1128b5 (physician (md, do))
Exact NPI, name verifiedSep 20, 201815 Oct 2020 to Dec 2021$45KA
SWIFT MEDICAL TRANSPORT LLC
1649669771, organization
VAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedMay 13, 20194 Jun 2019 to Sep 2019$140KA
JORDAN EDELEN
1851764807, individual
KYMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedDec 16, 20199 Feb 2020 to Sep 2021$14KA
LOUIS PAWLOWSKI
1356365829, individual
NYMedicare revocation list
424.535(a)(14) improper prescribing practices
Exact NPI, name verifiedMar 4, 20227 Apr 2022 to Oct 2022$14KA
BRIGHT WAY CARE HOSPICE, INC.
1720452790, organization
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedOct 1, 20204 May 2024 to Aug 2024$442KA
CIBICARE FAMILY HEALTH CENTER INC
1285869529, organization
TXMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedOct 4, 201742 Jan 2018 to Jun 2021$44KA
COOL WATERS, LLC
1003247925, organization
PAdoj adjudicated
enforcement record (pleaded guilty): harrisburg woman pleads guilty to health care fraud and bank fraud charges
No NPI on the list; matched by name at high confidenceOct 15, 20241 Nov 2024 to Nov 2024$137KA
MARK REIMER
1689669327, individual
TXMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJan 13, 202110 Feb 2021 to Nov 2021$14KA
MICHAEL SHRAMOWIAT LLC
1003820374, organization
WVMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedNov 19, 201421 Jan 2018 to Sep 2019$43KA
BENEVOLENCE HOSPICE, INC.
1194084525, organization
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJun 6, 20242 Jul 2024 to Aug 2024$132KA
KEVIN DO
1104078880, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedMar 7, 200322 Jan 2021 to Nov 2024$41KA
ALEXANDER ALPEROVICH
1922096221, individual
TNMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedMay 20, 202120 Jul 2021 to Jan 2024$12KA
EBONY GIBSON
1164942496, individual
OHOIG exclusion list
leie 1128a1 (ind- lic hc serv pro)
Exact NPI, name verifiedNov 20, 20222 Dec 2022 to Jan 2023$122KA
GOLDIS GERIATRICS P.C.
1194921650, organization
NJMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJun 25, 202013 Jul 2020 to Jul 2021$12KA
PO LEW
1235145350, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedOct 13, 20219 Nov 2021 to Jul 2022$12KA
LOPITO BUGARIN
1609825553, individual
VAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedAug 11, 20207 Sep 2020 to Mar 2021$12KA
DEBORAH FORD
1962254979, individual
ALOIG exclusion list
leie 1128b4 (hospital)
Exact NPI, name verifiedSep 20, 20019 Apr 2024 to Dec 2024$37KA
JASON YANG
1427105683, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedNov 29, 20177 Jan 2018 to Jul 2018$37KA
WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC
1730618091, organization
VAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedAug 11, 20207 Sep 2020 to Mar 2021$12KA
BRUCE BAKER
1356499644, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJul 13, 20203 Aug 2020 to Oct 2020$107KA
FARES RABADI
1023043635, individual
CAMedicare revocation list
424.535(a)(13) prescribing authority
Exact NPI, name verifiedJul 16, 202214 Aug 2022 to Oct 2023$11KA
JAMES FERGUSON
1386792935, individual
KYKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedNov 26, 201610 Jan 2018 to Nov 2018$33KA
RAMESH SARVAIYA
1578558748, individual
NJMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedApr 12, 201914 May 2019 to Aug 2020$10KA
CATHERINE NOEL-UYLOAN
1891891537, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedNov 16, 200018 Nov 2022 to Apr 2024$30KA
NEW GENESIS LLC
1366980930, organization
COCO Medicaid exclusion list
state list extracted from https://hcpf.colorado.gov/sites/hcpf/files/terminations%20for%20cause%20ef.%208.7.26.xlsx (pandas claude colmap)
Exact NPI, name verifiedSep 24, 20191 Oct 2019 to Oct 2019$90KA
JOSEPH MEYER
1689665283, individual
MNMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedOct 20, 20067 May 2023 to Nov 2023$26KA
NELSON GIRALDO
1902996093, individual
NYMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedSep 13, 202111 Oct 2021 to Oct 2022$8KA
SCOTT CALE
1972519056, individual
MAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedApr 13, 202315 May 2023 to Nov 2024$25KA
PETER CRAIG
1295752715, individual
TXMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedFeb 20, 20198 Nov 2022 to Jul 2023$25KA
AMOS LASH
1639133788, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedOct 21, 201125 Jan 2018 to Jun 2020$25KA
CHIVANO CHHIENG
1336207505, individual
GUCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJul 14, 202012 Dec 2020 to Aug 2024$24KA
ELIZABETH YUABOV
1578739587, individual
NYNY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedFeb 12, 20207 Jun 2020 to Jan 2021$7KA
NORTHRIDGE MEDICAL TRANSPORTATION LLC
1124462551, organization
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedSep 22, 20204 Oct 2020 to Jan 2021$75KA
DOMINGO BARRIENTOS
1184685281, individual
CAMedicare revocation list
424.535(a)(3) felonies and 424.535(a)(19) affiliation that poses an undue risk and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedApr 15, 20241 May 2024 to May 2024$69KA
RICHARD KROOP
1992735591, individual
LAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedOct 21, 202010 Mar 2022 to Dec 2022$20KA
JEFFREY GALLUPS
1851471866, individual
GAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedOct 21, 20213 Nov 2021 to Jan 2022$61KA
CARE COMPLETE MEDICAL CLINIC(CCMC)LLC
1750728846, organization
ALMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedAug 14, 20189 Sep 2018 to Jun 2019$6KA
MAGALY VELASQUEZ
1457658338, individual
CAstate ag adjudicated
enforcement record (sentenced): attorney general bonta secures sentencing of southern california dentist for medi-cal fraud
No NPI on the list; matched by name at high confidenceJul 22, 20244 Aug 2024 to Nov 2024$60KA
MAGALY M VELASQUEZ DDS PROFESSIONAL DENTAL CORP
1053652396, organization
CAMedicare revocation list
424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedJul 19, 20244 Aug 2024 to Nov 2024$60KA
FRANKLIN NWOKE
1356652515, individual
MDMD Medicaid exclusion list
state list extracted from https://health.maryland.gov/mmcp/provider/documents/sanctioned-list/state of md sanctioned providers.xlsx (pandas claude colmap)
Exact NPI, name verifiedMay 9, 201926 Jun 2019 to Dec 2023$6KA
CAROLINA FAMILY AND URGENT CARE
1346338159, organization
NCMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedSep 8, 20237 Oct 2023 to Apr 2024$6KA
INFINITY MEDICAL EQUIPMENT GROUP LLC
1902435803, organization
VAMedicare revocation list
424.535(a)(5) on-site review and 424.535(a)(9) failure to report
Exact NPI, name verifiedOct 14, 20204 Nov 2020 to Feb 2021$178KA
DESERT VIEW MEDICAL CENTER AND PEDIATRICS, CORP
1790183564, organization
AZMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedOct 26, 20225 Nov 2022 to Jun 2023$55KA
MEGA HOSPICE SERVICES INC
1285192856, organization
CAMedicare revocation list
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice
Exact NPI, name verifiedJun 6, 20243 Jul 2024 to Sep 2024$54KA
RAPHAEL SANTANA
1417348186, individual
TXMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedSep 16, 201922 Oct 2019 to Apr 2022$5KA
DIANA GALLARDO
1346460094, individual
PRMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedJul 9, 20218 Sep 2021 to Sep 2022$5KA
CECILE NGUYEN
1164645446, individual
TXTX Medicaid exclusion list
texas hhsc oig exclusions file (sept 5 2026)
Exact NPI, name verifiedJul 9, 20212 Aug 2021 to Sep 2021$52KA
RIGHT CHOICE HOME HEALTH, INC.
1801198213, organization
CAMedicare revocation list
424.535(a)(19) affiliation that poses an undue risk
Exact NPI, name verifiedMay 29, 20243 Jun 2024 to Aug 2024$51KA
STEPHEN KEE
1891738019, individual
CAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedDec 23, 20198 Aug 2021 to Apr 2022$5KA
JOHN YIU
1740440155, individual
NYMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedMar 6, 20245 Jul 2024 to Nov 2024$48KA
LANSING PODIATRY, PLLC
1730550138, organization
MIMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJan 24, 20225 Feb 2022 to Jun 2022$47KA
DESERT VIEW FAMILY CLINIC CORP.
1811139603, organization
AZMedicare revocation list
424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedOct 26, 20224 Nov 2022 to Feb 2023$46KA
NANCY DAVIS
1134459860, individual
NVCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJan 20, 20164 May 2018 to Aug 2018$125KA
CORA FISHER
1578814299, individual
NECA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedApr 21, 20227 Aug 2022 to May 2023$12KA
RAED JITAN
1033167986, individual
DEMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(3) felonies
Exact NPI, name verifiedFeb 14, 202016 Mar 2020 to Oct 2021$4KA
REVIVE SPINE AND PAIN CENTER
1235674912, organization
NJMedicare revocation list
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice
Exact NPI, name verifiedSep 17, 20243 Oct 2024 to Dec 2024$36KA
DAVID NIKNIA
1285816868, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJun 17, 20244 Jul 2024 to Oct 2024$35KA
BILINGUAL PSYCHOLOGICAL ASSOCIATES PC
1790937027, organization
TXTX Medicaid exclusion list
texas hhsc oig exclusions file (sept 5 2026)
Exact NPI, name verifiedSep 23, 20236 Dec 2023 to May 2024$3KA
KRISTINE MAY PARCON
1760895122, individual
NYMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedSep 6, 20235 Oct 2023 to Feb 2024$32KA
MELVIN EHRLICH
1346352531, individual
RIOIG exclusion list
leie 1128b4 (ind- lic hc serv pro)
Exact NPI, name verifiedAug 18, 20162 Sep 2018 to Oct 2018$91KA
STUART RICE
1366403610, individual
NJNY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedMay 11, 201512 Aug 2021 to Nov 2023$9KA
PAUL FELDMAN
1497844757, individual
NYMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedJan 24, 20243 Feb 2024 to Apr 2024$25KA
JOHN QIAN
1649290891, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedFeb 11, 20225 Mar 2022 to Jul 2022$23KA
JAVAD AGHALOO
1073708582, individual
CAMedicare revocation list
424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedNov 20, 20232 Dec 2023 to Jan 2024$23KA
DAVID SMITH
1780780031, individual
NCSC Medicaid exclusion list
state list extracted from https://www.scdhhs.gov/sites/dhhs/files/08%2027%202026%20sc%20medicaid%20sanctioned%20individuals patricia%20k%20godley.xlsx (pandas claude colmap)
Exact NPI, name verifiedNov 16, 20221 Dec 2022 to Dec 2022$23KA
GRO FAMILY SERVICES LLC
1144475765, organization
WIMedicare revocation list
424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedApr 25, 20244 May 2024 to Aug 2024$23KA
ADAPTHEALTH PATIENT CARE SOLUTIONS LLC
1932699832, organization
LAMedicare revocation list
424.535(a)(5) on-site review
Exact NPI, name verifiedJun 20, 20231 Jul 2023 to Jul 2023$23KA
JAMES YIP
1619929429, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedFeb 12, 20211 Mar 2021 to Mar 2021$23KA
SAMIR HADDAD
1841248234, individual
LANY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedMar 15, 20108 Oct 2021 to Nov 2023$7KA
MIDWEST MEDICAL SERVICES, INC.
1235288648, organization
WIMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedApr 21, 20232 May 2023 to Jun 2023$20KA
KRISTI SMITH
1013243179, individual
MOMO Medicaid exclusion list
state list extracted from https://mmac.mo.gov/wp-content/uploads/sanction-list-2026-08-31.xlsx (pandas claude colmap)
Exact NPI, name verifiedJul 29, 201111 Sep 2023 to Nov 2024$6KA
STERLING PHYSICIANS MEDICAL GROUP
1386214344, organization
CAMedicare revocation list
424.535(a)(19) affiliation that poses an undue risk
Exact NPI, name verifiedAug 18, 20243 Sep 2024 to Nov 2024$19KA
VEENA MATHAD
1720127970, individual
COCO Medicaid exclusion list
state list extracted from https://hcpf.colorado.gov/sites/hcpf/files/terminations%20for%20cause%20ef.%208.7.26.xlsx (pandas claude colmap)
Exact NPI, name verifiedOct 21, 20202 Nov 2020 to Dec 2020$19KA
DEVONTE' CHRISTOPHER
1861838401, individual
UTAZ Medicaid exclusion list
state list extracted from https://www.azahcccs.gov/fraud/downloads/stateexclusionspreadsheet.xlsx (pandas claude colmap)
Exact NPI, name verifiedSep 1, 20241 Dec 2024 to Dec 2024$59KA
JUAN E POSADA MD INCORPORATED
1851590780, organization
MNMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJan 27, 202110 Feb 2021 to Nov 2021$2KA
JUAN POSADA
1265496301, individual
CAMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedJan 27, 202110 Feb 2021 to Nov 2021$2KA
JOHN THROPAY
1427128073, individual
CAdoj adjudicated
enforcement record (convicted): doctor convicted of $2.8m medicare fraud scheme
No NPI on the list; matched by name at high confidenceFeb 15, 20241 Aug 2024 to Aug 2024$18KA
GREEN HOUSE AND ASSOCIATES INC
1558316463, organization
INMedicare revocation list
424.535(a)(8)(i) abuse of billing privileges
Exact NPI, name verifiedApr 10, 20223 May 2022 to Jul 2022$16KA
LEE FERGUSON
1336443704, individual
FLMedicare revocation list
424.535(a)(10) failure to document
Exact NPI, name verifiedSep 30, 20202 May 2021 to Jun 2021$49KA
MOHAMAD OCH
1629098496, individual
MAMedicare revocation list
424.535(a)(13) prescribing authority
Exact NPI, name verifiedJan 1, 20225 Feb 2022 to Jun 2022$15KA
DANIEL GARRISON
1326467499, individual
LAMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedFeb 2, 20231 Jul 2024 to Jul 2024$15KA
STONESPRINGS GASTROENTEROLOGY PLLC
1932763786, organization
MDMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJan 21, 20214 Feb 2021 to May 2021$14KA
TIMOTHY ALDRICH
1194212522, individual
VANY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedOct 25, 20235 Dec 2023 to May 2024$13KA
BABAR IQBAL MD INC
1851542625, organization
CAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedJun 10, 20203 Jul 2020 to Sep 2020$13KA
BABAR IQBAL
1528139722, individual
CAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedJun 10, 20203 Jul 2020 to Sep 2020$13KA
ALI INTERNAL MEDICINE ASSOCIATES, PC
1376872879, organization
LAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedMay 20, 20225 Jun 2022 to Oct 2022$12KA
KARUNESH SINGHAL
1811928351, individual
OKMedicare revocation list
424.535(a)(10) failure to document
Exact NPI, name verifiedSep 26, 20203 Jul 2021 to Sep 2021$37KA
FREDERICK DATTEL
1912008525, individual
KSMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies
Exact NPI, name verifiedNov 10, 20222 Dec 2022 to Jan 2023$11KA
MARGARET DANIELS
1790001642, individual
LAMO Medicaid exclusion list
state list extracted from https://mmac.mo.gov/wp-content/uploads/sanction-list-2026-08-31.xlsx (pandas claude colmap)
Exact NPI, name verifiedSep 24, 20187 Mar 2020 to Jul 2022$3KA
DAVID SINCAVAGE
1528036191, individual
GAKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedFeb 7, 20172 Jan 2018 to Feb 2018$33KA
WAEL ABOUGHALI
1447286158, individual
TXMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJul 7, 20225 Aug 2022 to Dec 2022$10KA
GOLD MEDICAL SUPPLY INC
1649894700, organization
FLMedicare revocation list
424.535(a)(5) on-site review and 424.535(a)(9) failure to report
Exact NPI, name verifiedNov 10, 20202 Dec 2020 to Jan 2021$33KA
TOWN STREET MEDICAL, LLC
1922464437, organization
OHMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedNov 20, 20241 Dec 2024 to Dec 2024$10KA
LANA WHITE
1447307319, individual
KYKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedAug 20, 20191 Sep 2019 to Sep 2019$10KA
LADD ATKINS
1912198375, individual
KSMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) and 424.535(a)(3) felonies
Exact NPI, name verifiedOct 30, 20232 Nov 2023 to Dec 2023$10KA
ANJANA SURA
1972530418, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJan 4, 20244 Feb 2024 to May 2024$10KA
CULLEN FAMILY PRACTICE PLLC
1447688049, organization
TXMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedOct 4, 20179 Jan 2019 to Jun 2021$3KA
MATTHEW DEGIROLAMO
1730102450, individual
PAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedMar 1, 20243 Jun 2024 to Aug 2024$10KA
GARY WEISS
1710967328, individual
COCO Medicaid exclusion list
state list extracted from https://hcpf.colorado.gov/sites/hcpf/files/terminations%20for%20cause%20ef.%208.7.26.xlsx (pandas claude colmap)
Exact NPI, name verifiedSep 26, 201638 Jan 2018 to Aug 2021$3KA
ACADIAN DIAGNOSTIC LABORATORIES LLC
1316370950, organization
LACO Medicaid exclusion list
state list extracted from https://hcpf.colorado.gov/sites/hcpf/files/terminations%20for%20cause%20ef.%208.7.26.xlsx (pandas claude colmap)
Exact NPI, name verifiedOct 16, 20205 Nov 2020 to Apr 2021$9KA
MAJA CUPAC
1184997009, individual
KYKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedApr 22, 20224 May 2022 to Aug 2022$9KA
RENITA BROWN
1801102959, individual
ALMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedAug 29, 20224 Sep 2022 to Dec 2022$9KA
JEROME ROBSON
1386677417, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedSep 17, 20195 Oct 2019 to Feb 2020$8KA
ZIA NEUROLOGY ASSOCIATES, LLC
1730652785, organization
VAKY Medicaid exclusion list
state list extracted from https://chfs.ky.gov/agencies/dms/dpi/pe/documents/kymedicaidterminationlist.xlsx (pandas claude colmap)
Exact NPI, name verifiedOct 5, 20203 Nov 2020 to Jan 2021$8KA
MASTURA ZALWANGO
1235424565, individual
ILMedicare revocation list
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice
Exact NPI, name verifiedSep 3, 20225 Oct 2022 to Mar 2023$8KA
RAUL CAPITAINE
1568457315, individual
TXTX Medicaid exclusion list
texas hhsc oig exclusions file (sept 5 2026)
Exact NPI, name verifiedOct 15, 20211 Nov 2021 to Nov 2021$8KA
ADAM MAASS
1841258738, individual
ARMO Medicaid exclusion list
state list extracted from https://mmac.mo.gov/wp-content/uploads/sanction-list-2026-08-31.xlsx (pandas claude colmap)
Exact NPI, name verifiedAug 13, 20215 Jan 2022 to May 2022$7KA
RODOLFO E MAGSINO MD INC
1093909202, organization
CAMedicare revocation list
424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedAug 16, 20194 Sep 2019 to Dec 2019$7KA
MIDWEST PAIN CLINIC INTERVENTIONAL LLC
1548696446, organization
INMedicare revocation list
424.535(a)(3) felonies
Exact NPI, name verifiedNov 29, 20188 Dec 2018 to Jul 2019$2KA
MICHAEL SHING
1831367747, individual
AZCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedDec 20, 20132 May 2020 to Jun 2020$21KA
WESTERN LABS COMPANY
1285302273, organization
MNMedicare revocation list
424.535(a)(5) on-site review and 424.535(a)(9) failure to report
Exact NPI, name verifiedFeb 23, 20233 Mar 2023 to May 2023$6KA
JUAN A MEDINA MEDICAL OFFICE PC
1477868032, organization
NYNY Medicaid exclusion list
ny omig medicaid exclusion list (tab-delimited, sept 2026)
Exact NPI, name verifiedDec 8, 20144 Jan 2018 to Apr 2018$19KA
CELIA ZUNIGA
1689862682, individual
TXMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(3) felonies
Exact NPI, name verifiedFeb 26, 20145 Feb 2022 to Jun 2022$19KA
JANIS FOWLER-GULDE
1780688598, individual
TXMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies and 424.535(a)(2) provider or supplier conduct (exclusion)
Exact NPI, name verifiedJan 13, 20207 Jul 2021 to Jul 2022$2KA
ROBERT LOVE
1942260724, individual
OHMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedApr 30, 20212 Oct 2022 to Nov 2022$6KA
BENJAMIN SANFORD
1629042304, individual
GAMedicare revocation list
424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedJan 26, 20213 Feb 2021 to Apr 2021$5KA
HOME VISIT MD PLC
1205964012, organization
MIMedicare revocation list
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice
Exact NPI, name verifiedFeb 22, 20231 Mar 2023 to Mar 2023$5KA
JOHN MARIUS TOLENTINO
1851990840, individual
NVCA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedDec 2, 20225 Mar 2024 to Jul 2024$16KA
SUN HEALTH DIAGNOSTICS LLC
1174277057, organization
MNMedicare revocation list
424.535(a)(4) false or misleading information and 424.535(a)(8)(i) abuse of billing privileges and 424.535(a)(3) felonies
Exact NPI, name verifiedFeb 1, 20233 Mar 2023 to May 2023$16KA
OSAMA NAHAS
1477540953, individual
TXdoj adjudicated
enforcement record (convicted): two convicted in multimillion-dollar adult daycare fraud scheme
No NPI on the list; matched by name at high confidenceMar 1, 20247 May 2024 to Nov 2024$2KA
JOHN DOZIER
1750398962, individual
CACA Medicaid exclusion list
ca medi-cal suspended & ineligible provider list (july 2026)
Exact NPI, name verifiedJun 19, 20201 Jul 2020 to Jul 2020$5KA
ADVANCED SPINE & PAIN MANAGEMENT INC
1790881746, organization
KYMedicare revocation list
424.535(a)(8)(ii) abuse of billing privileges: pattern or practice
Exact NPI, name verifiedMay 5, 20221 Jun 2022 to Jun 2022$5KA