Screening result
NPI 1912961558Screened 6/5/2026, 10:05:32 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 (13)
- • IL medical board probation (2026-03-04)
- • IL medical board suspension (2026-02-01)
- • IL medical board fine (2026-01-26)
- • IL medical board probation (2024-07-07)
- • IL medical board fine (2024-07-07)
- • IL medical board revocation (2012-05-21)
- • IL medical board revocation (2012-05-21)
- • IL medical board fine (2011-02-24)
- • IL medical board probation (2011-02-24)
- • IL medical board probation (2006-05-01)
- • IL medical board suspension (2002-03-06)
- • IL medical board probation (2002-03-06)
- • IL medical board suspension (1998-03-03)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL medical | Probation | 2026-03-04 | — |
| IL medical | Suspension | 2026-02-01 | 2026-03-03 |
| IL medical | Fine | 2026-01-26 | — |
| IL medical | Probation | 2024-07-07 | 2026-02-01 |
| IL medical | Fine | 2024-07-07 | — |
| IL medical | Revocation | 2012-05-21 | — |
| IL medical | Revocation | 2012-05-21 | — |
| IL medical | Fine | 2011-02-24 | — |
| IL medical | Probation | 2011-02-24 | 2012-02-23 |
| IL medical | Probation | 2006-05-01 | 2008-10-28 |
| IL medical | Suspension | 2002-03-06 | 2008-10-28 |
| IL medical | Probation | 2002-03-06 | 2008-10-28 |
| IL medical | Summary Suspension | 1998-03-03 | 2002-03-06 |
Financial transparency (Open Payments)
CMS Open Payments (Sunshine Act) data for 2023. Shows payments from pharmaceutical and device companies to this provider.
Total received
$695
Total records
13
Payment categories
1
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $695 | 13 |
Monitor this provider
Team+ subscribers — we re-screen daily and alert on status changes.
Source + audit trail
- NPI screened
- 1912961558
- Screen timestamp
- 6/5/2026, 10:05:32 PM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- EXCLUDED
- Risk score
- 270
- Matches found
- 13
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ProviderScore — Sanctions Screening Record
Record generated 6/5/2026, 10:05:32 PM
NPI 1912961558
EXCLUDED Active federal exclusion in effect.
Screened 6/5/2026, 10:05:32 PM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (13) | 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 (13)
- IL medical board probation (2026-03-04)
- IL medical board suspension (2026-02-01)
- IL medical board fine (2026-01-26)
- IL medical board probation (2024-07-07)
- IL medical board fine (2024-07-07)
- IL medical board revocation (2012-05-21)
- IL medical board revocation (2012-05-21)
- IL medical board fine (2011-02-24)
- IL medical board probation (2011-02-24)
- IL medical board probation (2006-05-01)
- IL medical board suspension (2002-03-06)
- IL medical board probation (2002-03-06)
- IL medical board suspension (1998-03-03)
Source + audit trail
| NPI screened | 1912961558 |
| Screen timestamp | 6/5/2026, 10:05:32 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 | 13 |
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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