Screening result
NPI 1386660322Screened 6/5/2026, 12:57:01 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 (3)
- • IL medical board revocation (2022-06-14)
- • IL medical board revocation (2022-06-14)
- • IL medical board refused to renew (2021-03-28)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL medical | Revocation | 2022-06-14 | — |
| IL medical | Revocation | 2022-06-14 | — |
| IL medical | Refused to Renew | 2021-03-28 | — |
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Source + audit trail
- NPI screened
- 1386660322
- Screen timestamp
- 6/5/2026, 12:57:01 PM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- EXCLUDED
- Risk score
- 110
- Matches found
- 3
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ProviderScore — Sanctions Screening Record
Record generated 6/5/2026, 12:57:01 PM
NPI 1386660322
EXCLUDED Active federal exclusion in effect.
Screened 6/5/2026, 12:57:01 PM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (3) | 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 (3)
- IL medical board revocation (2022-06-14)
- IL medical board revocation (2022-06-14)
- IL medical board refused to renew (2021-03-28)
Source + audit trail
| NPI screened | 1386660322 |
| Screen timestamp | 6/5/2026, 12:57:01 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 | 110 |
| Total matches | 3 |
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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