State Medicaid Exclusions

State-level Medicaid exclusion lists. 83,639 records. Currently loaded: NY (OMIG).

Provider nameStateProvider typeNPIExclusion dateReinstatedReason
Frederick WoodforkPAPerson—2025-10-23activePrecluded - 2025-10-23
Anajah DunsonDEPerson—2025-10-23active2025-10-23 - 2026-02-25 - 2030-10-23
Dana MasonDELegalEntity—2025-10-23active2025-10-23 - 2026-01-12 - 2030-10-23
Brian O'HaraDELegalEntity—2025-10-23active2025-10-23 - 2026-01-12 - 2030-10-23
Dana MasonPAPerson—2025-10-23activePrecluded - 2025-10-23
Frederick WoodforkDELegalEntity—2025-10-23active2025-10-23 - 2026-01-16 - 2030-10-23
Robet Douglas ThillMIPerson10735134202025-10-23activeSuspended - 2025-10-23
Buddenya BuddDELegalEntity—2025-10-23active2025-10-23 - 2030-10-23
Donald BanksLAPerson—2025-10-22activeCNA Finding - 2025-10-22
SILVIA CHRISTINA NOFTZNCLegalEntity15389227112025-10-22activeSTATE - 2025-10-22
THE HERITAGE OF SUGAR MOUNTAINNCLegalEntity11646983872025-10-21activeSTATE - 2025-10-21
Britney PhillipsKYPerson19526182902025-10-21activeViolation of KMAP Policy - 2025-10-21
Tera SerbousekIAPerson—2025-10-21active441 IAC 79.2(2)(f)(k)(m)(s)(v) - 2025-10-21 - 2028-10-21
Alternative Choice Home Care Nursing, LLCCOLegalEntity16498453222025-10-21active10 C.C.R. 2505-10, Section 8.076.1.7.n - 2025-10-21
Michelle Lea GandyIAPerson—2025-10-21active441 IAC 79.2(2)(s) - 2025-10-21
NAEEM NAVEEDNYPhysician12555370562025-10-20active—
Sanchez, Melva MartizaSCLegalEntity—2025-10-20activeExcluded - 2025-10-20
Michael McCuePAPerson—2025-10-20activePrecluded - 2025-10-20
Lindsay N. YinglingPAPerson—2025-10-20activePrecluded - 2025-10-20
BIGOT NADINENYLicensed Practical Nurse—2025-10-20active—
FOZOUNI DERAKHSH MDNYPhysician16997846522025-10-20active—
Latasya C. HarrisonPAPerson—2025-10-20activePrecluded - 2025-10-20
BAKAYEV MICHAELNYOwner—2025-10-20active—
Ann Arbor Neurosurgery PLLCMICompany16995854482025-10-20activeSummary Suspension - 2025-10-20
HARVEY GREGORY DAVID MDNYPhysician17109264802025-10-20active—
Sunil V ManjilaMIPerson16995854482025-10-20activeSummary Suspension - 2025-10-20
CONEY ISLAND CHEMIST INCNYPharmacy10033591752025-10-20active—
MILLER CRYSTAL L AKA/DBA CRYSTAL FANNINNYLicensed Practical Nurse16698680552025-10-20active—
Rouse, Mary EustaciaSCLegalEntity—2025-10-20activeExcluded - 2025-10-20
Brooke Alexander-BucherPAPerson—2025-10-20activePrecluded - 2025-10-20
Kasandra M. JermanPAPerson—2025-10-20activePrecluded - 2025-10-20
Janita P. JohnsonPAPerson—2025-10-20activePrecluded - 2025-10-20
DELVA MARISLENENYPhysician Assistant11446037212025-10-20active—
Michael McCueDELegalEntity—2025-10-20active2025-10-20 - 2026-01-12 - 2030-10-20
Syreeta M. CravenPAPerson—2025-10-20activePrecluded - 2025-10-20
MICHEL JESSICANYLicensed Practical Nurse18112906612025-10-20active—
Guilene DougePAPerson—2025-10-20activePrecluded - 2025-10-20
Robert J. Piazza Sr.PAPerson—2025-10-20activePrecluded - 2025-10-20
PIAZZA ROBERT JNYLicensed Practical Nurse—2025-10-20active—
KURBAN HENRY MICHELNYPhysician15686631102025-10-20active—
Shawn M. SpithalerPAPerson—2025-10-20activePrecluded - 2025-10-20
Bennie R. PettwayPAPerson—2025-10-20activePrecluded - 2025-10-20
Toby C. GreenePAPerson—2025-10-20activePrecluded - 2025-10-20
Elizabeth M. ThompsonPAPerson—2025-10-20activePrecluded - 2025-10-20
Monica C. BlackwellPAPerson—2025-10-20activePrecluded - 2025-10-20
Michelle B RootMIPerson—2025-10-20activeSummary Suspension - 2025-10-20
Sunil V ManjilaMIPerson19121604092025-10-20activeSummary Suspension - 2025-10-20
SANON AGAZOUNYSenior Safety Team Staff—2025-10-20active—
April M. PiercePAPerson—2025-10-20activePrecluded - 2025-10-20
KERVIN DEBBIENYLicensed Practical Nurse—2025-10-20active—
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