State Medicaid Exclusions
State-level Medicaid exclusion lists. 82,810 records. Currently loaded: NY (OMIG).
| Provider name | State | Provider type | NPI | Exclusion date | Reinstated | Reason |
|---|---|---|---|---|---|---|
| Randy’s Gateway Drug, Inc | WV | Company | 1992705339 | 2025-01-16 | active | Improper Prescribing Practices - 2025-01-16 |
| Brandi McDermott | NE | Person | — | 2025-01-16 | active | VN-Violation of NMAP Policy - 2025-01-16 |
| Chiquika Felder | DE | Person | — | 2025-01-16 | active | 2025-01-16 - 2030-01-16 |
| Timmothy Williams | LA | Person | — | 2025-01-15 | active | DSW Finding - 2025-01-15 |
| Alrion Fox | LA | Person | — | 2025-01-14 | active | DSW Finding - 2025-01-14 |
| Karol Deboer | MI | Person | — | 2025-01-14 | active | 2025-01-14 - 2019-06-11 |
| Suggs, Bradley J | MS | Person | 1487883088 | 2025-01-13 | active | License Suspended - 2025-01-13 |
| Scott Spencer | MI | Person | 1669103800 | 2025-01-13 | active | Suspended - 2025-01-13 |
| Thomas Gene Anderson | IA | Person | — | 2025-01-13 | active | 441 IAC 79.2(2)(f)(k)(s)(v) - 2025-01-13;OIG- 1128(a)(4) - 2025-05-20 |
| Trusted Behavioral Home Care II | AZ | ��� | 1134888365 | 2025-01-13 | 2030-01-13 | — |
| Jerome Hebert | LA | Person | — | 2025-01-13 | active | LA R.S. 14:67 - 2025-01-13 |
| Majestic Behavioral Health | AZ | ��� | 1285405340 | 2025-01-13 | 2030-01-13 | — |
| REMILLARD RENEE | NY | Assistant Program Director | — | 2025-01-12 | active | — |
| RECCHION TIMOTHY | NY | Direct Support Professional | — | 2025-01-12 | active | — |
| OSIER ROBERT | NY | Direct Support Professional | — | 2025-01-12 | active | — |
| RUSSO DANIELLE | NY | Licensed Master Social Worker | 1124392519 | 2025-01-12 | active | — |
| GIACOPELLI PAUL MICHAEL | NY | Physician | 1053311266 | 2025-01-12 | active | — |
| SAEED MUHAMMAD | NY | Owner | — | 2025-01-12 | active | — |
| GOTTLIEB ARIEL | NY | Direct Support Professional | — | 2025-01-12 | active | — |
| SORIA VERONICA | NY | Residential Associate | — | 2025-01-12 | active | — |
| POLLARO FRANK THOMAS MD | NY | Physician | 1528082641 | 2025-01-12 | active | — |
| First Choice Laboratory, LLC | NE | Company | 1790109742 | 2025-01-11 | active | VN-Violation of NMAP Policy - 2025-01-11 |
| Donnie Dillon | LA | Person | — | 2025-01-10 | active | Voluntary - 2025-01-10 |
| Latoya M Johnson | OH | Person | — | 2025-01-10 | active | Excluded - 2025-01-10 |
| Ayla Jannell Simpkins | IA | Person | — | 2025-01-10 | active | 441 IAC 79.2(2)(f)(k)(s)(v) - 2025-01-10 |
| Kylah Beard | WV | Person | 1174299234 | 2025-01-09 | active | Noncompliance - 2025-01-09 |
| Deaf Mountian, PLLC | CO | LegalEntity | 1407539885 | 2025-01-08 | active | 10 C.C.R. 2505-10, Section 8.076.1.7.d and 8.076.1.7.n - 2025-01-08 |
| Dennis Peyroux | LA | Person | 1831256676 | 2025-01-08 | active | 18 U.S.C. § 1349 & § 1347 - 2025-01-08 |
| Eleanor Elaine McDonald | IA | Person | — | 2025-01-07 | active | 441 IAC 79.2(2)(f)(k)(m)(s)(v) - 2025-01-07;OIG- 1128a4 - 2025-03-20 |
| James William Haag | IA | Person | 1881639276 | 2025-01-07 | active | 441 IAC 79.2(2)(f)(k)(m)(v) - 2025-01-07 |
| Archana Mehta | PA | Person | 1710142021 | 2025-01-07 | active | Precluded - 2025-01-07 |
| Miaya Crosley | LA | Person | — | 2025-01-07 | active | DSW Finding - 2025-01-07 |
| Melynda Dianna Albert | IA | Person | — | 2025-01-07 | active | 441 IAC 79.2(2)(f)(k)(m)(s) - 2025-01-07 |
| Sosa, Rodney | CO | LegalEntity | 1720041916 | 2025-01-07 | active | 10 C.C.R. 2505-10, Section 8.076.1.7.e, Section 8.076.1.7.h - 2025-01-07 |
| CARLA SARDINHA | MA | LegalEntity | — | 2025-01-05 | active | VIOLATION OF MASSHEALTH PROGRAM PARTICIPATORY REQUIREMENTS - 2025-01-05 |
| Fidel Psychiatric Health | AZ | ��� | 1033702519 | 2025-01-05 | 2030-01-05 | — |
| Jonathan Fair | NE | Person | — | 2025-01-05 | active | VN-Violation of NMAP Policy - 2025-01-05 |
| Keoka Ledet | LA | Person | — | 2025-01-04 | active | LAC 50:1.4147.A.1, A.2, A.14 - 2025-01-04 |
| Craver, Michelle | CO | LegalEntity | 1275883365 | 2025-01-03 | active | 10 C.C.R. 2505-10, Section 8.076.1.7.e - 2025-01-03 |
| Ted A. Bonebrake | IA | Person | 1356788616 | 2025-01-03 | active | 441 IAC 79.2(2)(f)(k)(m)(q)(s)(v) - 2025-01-03 |
| Dalen, Brenda | CO | LegalEntity | 1598125387 | 2025-01-03 | active | 10 C.C.R. 2505-10, Section 8.076.1.7.e - 2025-01-03 |
| Cloward, Patrick | CO | LegalEntity | 1649592346 | 2025-01-03 | active | 10 C.C.R. 2505-10, Section 8.076.1.7.e - 2025-01-03 |
| Fast Lab Technologies LLC | PA | Company | 1154089241 | 2025-01-02 | active | Precluded - 2025-01-02 |
| Burnell Williams | LA | Person | — | 2025-01-02 | active | DSW Finding - 2025-01-02 |
| CARLOS A RUIZ JR | MA | LegalEntity | — | 2025-01-02 | active | VIOLATION OF MASSHEALTH PROGRAM PARTICIPATORY REQUIREMENTS - 2025-01-02 |
| Megan Kerr | NE | Person | — | 2025-01-02 | active | VN-Violation of NMAP Policy - 2025-01-02 |
| Fast Lab Technologies LLC | KY | Company | 1154089241 | 2025-01-02 | active | Violation of KMAP Policy - 2025-01-02 |
| Jasmine Butler | LA | Person | — | 2025-01-02 | active | CNA Finding - CNA finding - 2025-01-02 - 2023-10-17 |
| Ariel Gale | NE | Person | — | 2025-01-02 | active | VN-Violation of NMAP Policy - 2025-01-02 |
| Julie Ann Porter | IA | Person | — | 2024-12-30 | active | 441 IAC 79.2(2)(f)(k)(s)(v) - 2024-12-30 |