Screening result
NPI 1275524449Screened 6/13/2026, 10:46:31 PM against OIG LEIE (snapshot 2026-05-08) + state board sanctions + SAM.gov + OFAC SDN + FDA Debarment.
EXCLUDED
Active federal exclusion in effect.
This NPI carries 0 active OIG exclusions. Do not employ or contract for federal-program work.
Reasons (15)
- • IL medical board suspension (2025-01-09)
- • IL medical board probation (2023-12-20)
- • IL medical board suspension (2023-10-20)
- • IL medical board fine (2023-10-20)
- • IL medical board probation (2023-07-20)
- • IL medical board probation (2020-03-09)
- • IL medical board suspension (2019-12-09)
- • IL medical board suspension (2019-12-09)
- • IL medical board fine (2019-12-09)
- • IL medical board probation (2016-10-19)
- • IL medical board suspension (2016-08-29)
- • IL medical board suspension (2016-01-05)
- • IL medical board probation (2015-07-06)
- • IL medical board fine (2015-07-06)
- • IL medical board probation (2015-01-16)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL medical | Suspension | 2025-01-09 | — |
| IL medical | Probation | 2023-12-20 | 2025-01-09 |
| IL medical | Suspension | 2023-10-20 | 2023-12-19 |
| IL medical | Fine | 2023-10-20 | — |
| IL medical | Probation | 2023-07-20 | — |
| IL medical | Probation | 2020-03-09 | 2023-10-20 |
| IL medical | Suspension | 2019-12-09 | 2020-03-08 |
| IL medical | Suspension | 2019-12-09 | 2020-03-08 |
| IL medical | Fine | 2019-12-09 | — |
| IL medical | Probation | 2016-10-19 | 2017-07-05 |
| IL medical | Suspension | 2016-08-29 | 2016-10-19 |
| IL medical | Suspension | 2016-01-05 | — |
| IL medical | Probation | 2015-07-06 | 2016-08-29 |
| IL medical | Fine | 2015-07-06 | — |
| IL medical | Probation | 2015-01-16 | 2016-01-05 |
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Source + audit trail
- NPI screened
- 1275524449
- Screen timestamp
- 6/13/2026, 10:46:31 PM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- EXCLUDED
- Risk score
- 270
- Matches found
- 15
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ProviderScore — Sanctions Screening Record
Record generated 6/13/2026, 10:46:31 PM
NPI 1275524449
EXCLUDED Active federal exclusion in effect.
Screened 6/13/2026, 10:46:31 PM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (15) | 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 (15)
- IL medical board suspension (2025-01-09)
- IL medical board probation (2023-12-20)
- IL medical board suspension (2023-10-20)
- IL medical board fine (2023-10-20)
- IL medical board probation (2023-07-20)
- IL medical board probation (2020-03-09)
- IL medical board suspension (2019-12-09)
- IL medical board suspension (2019-12-09)
- IL medical board fine (2019-12-09)
- IL medical board probation (2016-10-19)
- IL medical board suspension (2016-08-29)
- IL medical board suspension (2016-01-05)
- IL medical board probation (2015-07-06)
- IL medical board fine (2015-07-06)
- IL medical board probation (2015-01-16)
Source + audit trail
| NPI screened | 1275524449 |
| Screen timestamp | 6/13/2026, 10:46:31 PM |
| 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 | EXCLUDED |
| Risk score | 270 |
| Total matches | 15 |
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.
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