Screening result
NPI 1497839310Screened 6/4/2026, 5:45:30 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 (6)
- • IL real_estate board suspension (2016-07-22)
- • IL medical board suspension (2015-11-13)
- • IL medical board probation (2015-11-13)
- • IL medical board fine (2015-10-23)
- • IL medical board probation (2003-07-15)
- • IL medical board disciplinary action (null)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL real_estate | Suspension | 2016-07-22 | 2019-04-24 |
| IL medical | Suspension | 2015-11-13 | 2016-01-12 |
| IL medical | Probation | 2015-11-13 | 2018-08-06 |
| IL medical | Fine | 2015-10-23 | — |
| IL medical | Probation | 2003-07-15 | 2003-09-16 |
| IL medical | — |
Financial transparency (Open Payments)
CMS Open Payments (Sunshine Act) data for 2023. Shows payments from pharmaceutical and device companies to this provider.
Total received
$57
Total records
3
Payment categories
1
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $57 | 3 |
Monitor this provider
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Source + audit trail
- NPI screened
- 1497839310
- Screen timestamp
- 6/4/2026, 5:45:30 PM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- EXCLUDED
- Risk score
- 100
- Matches found
- 6
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ProviderScore — Sanctions Screening Record
Record generated 6/4/2026, 5:45:30 PM
NPI 1497839310
EXCLUDED Active federal exclusion in effect.
Screened 6/4/2026, 5:45:30 PM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (6) | 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 (6)
- IL real_estate board suspension (2016-07-22)
- IL medical board suspension (2015-11-13)
- IL medical board probation (2015-11-13)
- IL medical board fine (2015-10-23)
- IL medical board probation (2003-07-15)
- IL medical board disciplinary action (null)
Source + audit trail
| NPI screened | 1497839310 |
| Screen timestamp | 6/4/2026, 5:45:30 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 | 100 |
| Total matches | 6 |
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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