Screening result
NPI 1164508149Screened 6/4/2026, 6:09:25 AM against OIG LEIE (snapshot 2026-05-08) + state board sanctions + SAM.gov + OFAC SDN + FDA Debarment.
WATCH
Historical or low-severity record.
This NPI has a historical record — typically a reinstated exclusion or a less-severe state board action. Surface to compliance review.
Reasons (5)
- • IL medical board probation (2005-04-28)
- • IL medical board probation (2005-01-11)
- • IL medical board suspension (2002-06-10)
- • IL medical board fine (2002-06-10)
- • IL medical board suspension (1999-03-29)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL medical | Probation | 2005-04-28 | 2008-06-19 |
| IL medical | Probation | 2005-01-11 | 2008-06-19 |
| IL medical | Suspension | 2002-06-10 | 2005-01-11 |
| IL medical | Fine | 2002-06-10 | — |
| IL medical | Suspension | 1999-03-29 | 2005-01-11 |
Financial transparency (Open Payments)
CMS Open Payments (Sunshine Act) data for 2023. Shows payments from pharmaceutical and device companies to this provider.
Total received
$245
Total records
13
Payment categories
1
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $245 | 13 |
Monitor this provider
Team+ subscribers — we re-screen daily and alert on status changes.
Source + audit trail
- NPI screened
- 1164508149
- Screen timestamp
- 6/4/2026, 6:09:25 AM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- WATCH
- Risk score
- 90
- Matches found
- 5
PREVIEW — FREE TIER. Subscribe (Solo+) for an unwatermarked, audit-ready record with a verification ID.
ProviderScore — Sanctions Screening Record
Record generated 6/4/2026, 6:09:25 AM
NPI 1164508149
WATCH Historical or low-severity record.
Screened 6/4/2026, 6:09:25 AM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (5) | 40 states live: AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| State Medicaid exclusions | Clear | — |
| SAM.gov / GSA exclusions | Clear | — |
| OFAC SDN (Treasury) | Clear | — |
| FDA debarment | Clear | — |
Findings (5)
- IL medical board probation (2005-04-28)
- IL medical board probation (2005-01-11)
- IL medical board suspension (2002-06-10)
- IL medical board fine (2002-06-10)
- IL medical board suspension (1999-03-29)
Source + audit trail
| NPI screened | 1164508149 |
| Screen timestamp | 6/4/2026, 6:09:25 AM |
| OIG LEIE snapshot | 2026-05-08 |
| State boards covered | AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| Risk band | WATCH |
| Risk score | 90 |
| Total matches | 5 |
This record reflects the sources and snapshot dates listed above at the time of generation. Not legal advice. ProviderScore screens exclusion/sanction lists, not primary-source license verification.
This page is also a permanent deliverable. Bookmark or share the URL to preserve the screen result. For programmatic access + audit IDs, see the paid tiers.