Screening result
NPI 1770616484Screened 6/3/2026, 9:24:59 AM 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 (4)
- • IL medical board suspension (2019-12-06)
- • IL other board suspension (2019-09-09)
- • Active SAM.gov exclusion (Prohibition/Restriction) by HHS effective unknown date
- • Active SAM.gov exclusion (Prohibition/Restriction) by HHS effective unknown date
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL medical | Suspension | 2019-12-06 | 2019-12-16 |
| IL other | Suspension | 2019-09-09 | 2019-10-01 |
SAM.gov exclusion detail
| Name | Agency | Type | Action date | Termination |
|---|---|---|---|---|
| RIVERA, MARIAM | HHS | Prohibition/Restriction | — | indefinite |
| RIVERA, MARIA | HHS | Prohibition/Restriction | — | indefinite |
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Source + audit trail
- NPI screened
- 1770616484
- Screen timestamp
- 6/3/2026, 9:24:59 AM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- EXCLUDED
- Risk score
- 220
- Matches found
- 4
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ProviderScore — Sanctions Screening Record
Record generated 6/3/2026, 9:24:59 AM
NPI 1770616484
EXCLUDED Active federal exclusion in effect.
Screened 6/3/2026, 9:24:59 AM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (2) | 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 | FLAGGED (2) | — |
| OFAC SDN (Treasury) | Clear | — |
| FDA debarment | Clear | — |
Findings (4)
- IL medical board suspension (2019-12-06)
- IL other board suspension (2019-09-09)
- Active SAM.gov exclusion (Prohibition/Restriction) by HHS effective unknown date
- Active SAM.gov exclusion (Prohibition/Restriction) by HHS effective unknown date
Source + audit trail
| NPI screened | 1770616484 |
| Screen timestamp | 6/3/2026, 9:24:59 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 | EXCLUDED |
| Risk score | 220 |
| Total matches | 4 |
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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