State Medicaid Exclusions

State-level Medicaid exclusion lists. 82,810 records. Currently loaded: NY (OMIG).

Provider nameStateProvider typeNPIExclusion dateReinstatedReason
GOUZOS JOHNNYOwner-Transportation Company2024-09-18active
Famond Care NetworkAZ���16397482392024-09-182029-09-18
YENIFER BARRERA MERCEDESMALegalEntity2024-09-18activeVIOLATION OF MASSHEALTH PROGRAM PARTICIPATORY REQUIREMENTS - 2024-09-18
YANERIS MERCEDES DE RIVERAMALegalEntity2024-09-18activeVIOLATION OF MASSHEALTH PROGRAM PARTICIPATORY REQUIREMENTS - 2024-09-18
NEW YORK HEALTH RIDE LLCNYTransportation Company2024-09-18active
LONG ISLAND HEALTH RIDE LLCNYTransportation Company2024-09-18active
AMUMC/AMERICAN MEDICAL CTRSNYDiagnostic and Treatment Center2024-09-18active
ABRAZI RICHARDNYOwner2024-09-18active
APOLLO TRANSPORTATION NY CORPNYTransportation Company2024-09-18active
EMPIRE TRANS NY INCNYTransportation Company2024-09-18active
ELIZABETH BETANCES ROSARIOMALegalEntity2024-09-18activeVIOLATION OF MASSHEALTH PROGRAM PARTICIPATORY REQUIREMENTS - 2024-09-18
TANNER WALKERMALegalEntity2024-09-18activeVIOLATION OF MASSHEALTH PROGRAM PARTICIPATORY REQUIREMENTS - 2024-09-18
FELIX ANTONIO MERCEDES-CASTILLOMALegalEntity2024-09-18activeVIOLATION OF MASSHEALTH PROGRAM PARTICIPATORY REQUIREMENTS - 2024-09-18
Vicki L. StorkIAPerson2024-09-17active441 IAC 79.2(2)(m)(s)(v) - 2024-09-17
Brent E. CainPAPerson10038887362024-09-17activePrecluded - 2024-09-17
Devetrick SandersLAPerson2024-09-17activeDSW Finding - 2024-09-17
John Ray ChurchIAPerson10930482822024-09-17active441 IAC 79.2(2)(m) - 2024-09-17
Jasey GreenLAPerson2024-09-17activeDSW Finding - 2024-09-17
Gary D. VoginPAPerson17807307962024-09-17activePrecluded - 2024-09-17
Never Give Up Youth Healing CenterAZ���14378997132024-09-172029-09-17
Jalen SmithLAPerson2024-09-17activeDSW Finding - 2024-09-17
Jada LawrenceLAPerson2024-09-16activeLAC 50:1.4147.A.11.b - 2024-09-16
MORRIS SOPHIANYDirect Support Professional2024-09-16active
Frasier, KemSCLegalEntity19624471022024-09-16activeTerminated for Cause - 2024-09-16
PRICE ANDREWNYLicensed Clinical Social Worker11949175832024-09-16active
Donald R. Barton, Jr.DEPerson2024-09-16active2024-09-16 - 2029-09-16
Donald R. Barton Jr.PAPerson2024-09-16activePrecluded - 2024-09-16
Suzannah PriceAZ���2024-09-162029-09-16
Lawrence H. PetersKYPerson14179272292024-09-16activeViolation of KMAP Policy - 2024-09-16
Alexces HaywardLAPerson2024-09-16activeLAC 50:I.4167.A.11.g - 2024-09-16
MARTIN TIMOTHY WILLIAMNYLicensed Practical Nurse2024-09-16active
Joel JonesMIPerson2024-09-16active"Summary Suspension Terminated - 2024-09-16 - 2021-11-23"
NEILY KATHYNYLicensed Clinical Social Worker12757055682024-09-16active
KAMARA ABRAHIMNYDirect Support Professional2024-09-16active
Your Counseling Services, LLCSCLegalEntity17302120282024-09-16activeTerminated for Cause - 2024-09-16
HARRIS JULIONYDirect Support Professional2024-09-16active
CPO PSCKYCompany17200905252024-09-16activeViolation of KMAP Policy - 2024-09-16
HASIL DONNA ENYRegistered Nurse13462719622024-09-15active
ROSS MIKAELA MARYNYPhysical Therapist19820122822024-09-15active
FLOREK JOANNE MNYLicensed Practical Nurse2024-09-15active
Christophers HouseAZ���19126374632024-09-152029-09-15
Salcedo Behavioral Health & Consultation ServicesLACompany10036809012024-09-15activeLA R.S. 46:437.14(A)(10) - 2024-09-15
Quendaisia WestonAZ���2024-09-152029-09-15
Michael Gray Sole MemberAZ���10336715652024-09-152029-09-15
Z HopeAZ���18611985902024-09-152029-09-15
Wildine BurgessAZ���2024-09-152029-09-15
Serena StevensAZ���2024-09-152029-09-15
Rugumanya MuamaAZ���2024-09-152029-09-15
Michael GrayAZ���2024-09-152029-09-15
Inyang Udo-EmaAZ���12658323312024-09-152029-09-15
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