{
  "builtAt": "2026-10-18T07:27:15.503Z",
  "detector": "leie_excluded_but_npi_active (exact NPI-id, confidence 1.0)",
  "totalKnownDisagreements": 500,
  "items": [
    {
      "npi": "1538187513",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538187513"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "HURST, MICHAEL",
          "exclusionType": "1128b4",
          "excludedSince": "2015-10-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "MICHAEL HURST",
          "status": "A",
          "enumerationDate": "2006-07-17",
          "taxonomy": "Chiropractor",
          "state": "IL",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538187513"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538187513 as EXCLUDED from federal health programs (since 2015-10-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:14.537Z"
    },
    {
      "npi": "1538186127",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538186127"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "JANICK, JOHN",
          "exclusionType": "1128a1",
          "excludedSince": "2019-04-18",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "JOHN JANICK",
          "status": "A",
          "enumerationDate": "2006-07-17",
          "taxonomy": "Specialist",
          "state": "FL",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538186127"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538186127 as EXCLUDED from federal health programs (since 2019-04-18), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:13.654Z"
    },
    {
      "npi": "1538169552",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538169552"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "YOON, CHANG",
          "exclusionType": "1128b4",
          "excludedSince": "2008-05-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "CHANG YOON",
          "status": "A",
          "enumerationDate": "2005-08-01",
          "taxonomy": "Physical Therapist",
          "state": "MA",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538169552"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538169552 as EXCLUDED from federal health programs (since 2008-05-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:12.816Z"
    },
    {
      "npi": "1538168059",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538168059"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "ST JUDE HOME CARE, INC",
          "exclusionType": "1128a1",
          "excludedSince": "2018-06-11",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "ST JUDE HOME CARE, INC.",
          "status": "A",
          "enumerationDate": "2005-07-18",
          "taxonomy": "Home Health",
          "state": "RI",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538168059"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538168059 as EXCLUDED from federal health programs (since 2018-06-11), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:11.410Z"
    },
    {
      "npi": "1538164942",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538164942"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "CALENDINE, CHRISTOPHER",
          "exclusionType": "1128a3",
          "excludedSince": "2019-04-18",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "CHRISTOPHER CALENDINE",
          "status": "A",
          "enumerationDate": "2005-06-14",
          "taxonomy": "Pediatrics",
          "state": "TN",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538164942"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538164942 as EXCLUDED from federal health programs (since 2019-04-18), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:10.593Z"
    },
    {
      "npi": "1538161872",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538161872"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "GRIFFIN, GEORGE",
          "exclusionType": "1128a4",
          "excludedSince": "2022-03-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "GEORGE GRIFFIN",
          "status": "A",
          "enumerationDate": "2005-06-01",
          "taxonomy": "Orthopaedic Surgery",
          "state": "OH",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538161872"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538161872 as EXCLUDED from federal health programs (since 2022-03-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:09.672Z"
    },
    {
      "npi": "1538156138",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538156138"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "TWYNER, LAFAYETTE",
          "exclusionType": "1128a1",
          "excludedSince": "2014-09-18",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "LAFAYETTE TWYNER",
          "status": "A",
          "enumerationDate": "2005-09-29",
          "taxonomy": "Family Medicine",
          "state": "IA",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538156138"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538156138 as EXCLUDED from federal health programs (since 2014-09-18), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:08.751Z"
    },
    {
      "npi": "1538147723",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538147723"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "PATINO, FRANCISCO",
          "exclusionType": "1128a1",
          "excludedSince": "2023-12-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "FRANK PATINO",
          "status": "A",
          "enumerationDate": "2006-01-06",
          "taxonomy": "Emergency Medicine, Emergency Medical Services",
          "state": "MI",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538147723"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538147723 as EXCLUDED from federal health programs (since 2023-12-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:07.827Z"
    },
    {
      "npi": "1538147558",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538147558"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "YANGOUYIAN, DAVID",
          "exclusionType": "1128a1",
          "excludedSince": "2023-01-19",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "DAVID YANGOUYIAN",
          "status": "A",
          "enumerationDate": "2006-01-09",
          "taxonomy": "Emergency Medicine",
          "state": "MI",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538147558"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538147558 as EXCLUDED from federal health programs (since 2023-01-19), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:07.009Z"
    },
    {
      "npi": "1538143136",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538143136"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "ESCOBAR-HERNANDEZ, SAMUEL",
          "exclusionType": "1128a3",
          "excludedSince": "2013-04-18",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "SAMUEL ESCOBAR",
          "status": "A",
          "enumerationDate": "2005-12-06",
          "taxonomy": "General Practice",
          "state": "PR",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538143136"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538143136 as EXCLUDED from federal health programs (since 2013-04-18), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:06.167Z"
    },
    {
      "npi": "1538140462",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538140462"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "NWUGWO, KIERIAN",
          "exclusionType": "1128b4",
          "excludedSince": "2023-10-19",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "KIERIAN NWUGUWO",
          "status": "A",
          "enumerationDate": "2005-11-08",
          "taxonomy": "Dentist",
          "state": "NY",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538140462"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538140462 as EXCLUDED from federal health programs (since 2023-10-19), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:05.234Z"
    },
    {
      "npi": "1538136353",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538136353"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "OESTERLING, JOSEPH",
          "exclusionType": "1128a1",
          "excludedSince": "2020-02-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "JOSEPH OESTERLING",
          "status": "A",
          "enumerationDate": "2006-03-01",
          "taxonomy": "Specialist",
          "state": "MI",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538136353"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538136353 as EXCLUDED from federal health programs (since 2020-02-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:04.409Z"
    },
    {
      "npi": "1538130810",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538130810"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "HAQUE, EHTESHAMUL",
          "exclusionType": "1128a2",
          "excludedSince": "2009-05-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "EHTESHAMUL HAQUE",
          "status": "A",
          "enumerationDate": "2006-01-27",
          "taxonomy": "Internal Medicine",
          "state": "VA",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538130810"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538130810 as EXCLUDED from federal health programs (since 2009-05-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:03.496Z"
    },
    {
      "npi": "1538129127",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538129127"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "DONALD, FELICIA",
          "exclusionType": "1128a1",
          "excludedSince": "2022-03-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "FELICIA DONALD",
          "status": "A",
          "enumerationDate": "2006-03-27",
          "taxonomy": "Obstetrics & Gynecology",
          "state": "VA",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538129127"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538129127 as EXCLUDED from federal health programs (since 2022-03-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:02.506Z"
    },
    {
      "npi": "1538121025",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538121025"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "BAUMSTARCK, JOSEPH",
          "exclusionType": "1128a4",
          "excludedSince": "2009-05-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "JOSEPH BAUMSTARCK",
          "status": "A",
          "enumerationDate": "2006-04-03",
          "taxonomy": "Family Medicine",
          "state": "WY",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538121025"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538121025 as EXCLUDED from federal health programs (since 2009-05-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:01.672Z"
    },
    {
      "npi": "1538119797",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538119797"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "BERROA, CESAR",
          "exclusionType": "1128a3",
          "excludedSince": "2013-04-18",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "CESAR BERROA",
          "status": "A",
          "enumerationDate": "2006-05-10",
          "taxonomy": "Family Medicine",
          "state": "PR",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538119797"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538119797 as EXCLUDED from federal health programs (since 2013-04-18), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:27:00.598Z"
    },
    {
      "npi": "1538117213",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538117213"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "MAKKER, RAM",
          "exclusionType": "1128b4",
          "excludedSince": "2010-04-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "RAM MAKKER",
          "status": "A",
          "enumerationDate": "2006-05-04",
          "taxonomy": "Emergency Medicine",
          "state": "NY",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538117213"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538117213 as EXCLUDED from federal health programs (since 2010-04-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:26:59.780Z"
    },
    {
      "npi": "1538107305",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538107305"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "NEWMAN, DAVID",
          "exclusionType": "1128a4",
          "excludedSince": "2023-05-18",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "DAVID NEWMAN",
          "status": "A",
          "enumerationDate": "2006-06-03",
          "taxonomy": "Anesthesiology",
          "state": "TN",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538107305"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538107305 as EXCLUDED from federal health programs (since 2023-05-18), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:26:58.496Z"
    },
    {
      "npi": "1538100599",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538100599"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "BABARIA, ASHOKKUMAR",
          "exclusionType": "1128a1",
          "excludedSince": "2015-02-19",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "ASHOKKUMAR BABARIA",
          "status": "A",
          "enumerationDate": "2006-06-09",
          "taxonomy": "Radiology, Diagnostic Radiology",
          "state": "NJ",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538100599"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538100599 as EXCLUDED from federal health programs (since 2015-02-19), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:26:57.693Z"
    },
    {
      "npi": "1538100078",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1538100078"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "HICKEY, KEITH",
          "exclusionType": "1128b4",
          "excludedSince": "2026-03-19",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "KEITH HICKEY",
          "status": "A",
          "enumerationDate": "2006-06-08",
          "taxonomy": "Internal Medicine, Cardiovascular Disease",
          "state": "LA",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1538100078"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1538100078 as EXCLUDED from federal health programs (since 2026-03-19), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:26:56.791Z"
    },
    {
      "npi": "1528750304",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1528750304"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "DALTON, CAGNUR",
          "exclusionType": "1128b4",
          "excludedSince": "2025-12-18",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "CAGNUR DALTON",
          "status": "A",
          "enumerationDate": "2023-05-22",
          "taxonomy": "Social Worker, Clinical",
          "state": "AZ",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1528750304"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1528750304 as EXCLUDED from federal health programs (since 2025-12-18), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:26:55.882Z"
    },
    {
      "npi": "1528687795",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1528687795"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "GARCIA, INGRID",
          "exclusionType": "1128a1",
          "excludedSince": "2025-04-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "INGRID GARCIA",
          "status": "A",
          "enumerationDate": "2020-04-08",
          "taxonomy": "Counselor, Mental Health",
          "state": "FL",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1528687795"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1528687795 as EXCLUDED from federal health programs (since 2025-04-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:26:55.050Z"
    },
    {
      "npi": "1528677648",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1528677648"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "HOSHOR, CAYLEE",
          "exclusionType": "1128b4",
          "excludedSince": "2026-05-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "CAYLEE HOSHOR",
          "status": "A",
          "enumerationDate": "2020-07-24",
          "taxonomy": "Counselor, Addiction (Substance Use Disorder)",
          "state": "OH",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1528677648"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1528677648 as EXCLUDED from federal health programs (since 2026-05-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:26:54.130Z"
    },
    {
      "npi": "1528617164",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1528617164"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "GRAHAM, MARY",
          "exclusionType": "1128b4",
          "excludedSince": "2025-02-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "MARY GRAHAM",
          "status": "A",
          "enumerationDate": "2019-09-06",
          "taxonomy": "Counselor, Mental Health",
          "state": "FL",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1528617164"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1528617164 as EXCLUDED from federal health programs (since 2025-02-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:26:53.216Z"
    },
    {
      "npi": "1528591583",
      "type": "leie_excluded_but_npi_active",
      "severity": "high",
      "matchConfidence": 1,
      "matchBasis": "exact-id",
      "sharedIdentifier": {
        "kind": "NPI",
        "value": "1528591583"
      },
      "sources": [
        {
          "agency": "HHS-OIG",
          "role": "exclusion",
          "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)",
          "name": "MACK, SHENELL",
          "exclusionType": "1128a1",
          "excludedSince": "2022-11-20",
          "source": "https://oig.hhs.gov/exclusions/exclusions_list.asp"
        },
        {
          "agency": "CMS-NPPES",
          "role": "active-identity",
          "record": "NPI is an ACTIVE provider identity in the NPPES registry (no deactivation date)",
          "name": "SHENELL MACK",
          "status": "A",
          "enumerationDate": "2017-04-06",
          "taxonomy": "Counselor, Mental Health",
          "state": "LA",
          "source": "https://npiregistry.cms.hhs.gov/provider-view/1528591583"
        }
      ],
      "summary": "Two federal records disagree: HHS-OIG lists NPI 1528591583 as EXCLUDED from federal health programs (since 2022-11-20), yet the same NPI is an ACTIVE provider identity in the CMS NPPES registry.",
      "whatToVerify": "NPPES does not automatically deactivate an NPI when a provider is excluded, so an active NPI is expected even after exclusion — but billing, credentialing, or paying under this NPI may be improper while the OIG exclusion stands. Confirm the OIG exclusion is current (oig.hhs.gov verification) and the NPI identity matches before relying on either record.",
      "detectedAt": "2026-10-18T07:26:52.267Z"
    }
  ],
  "disclaimer": "GRC SIGNAL, NOT A VERDICT. Each item is two PUBLIC records that DISAGREE; verify against the cited sources. Not a fraud accusation. FCRA-safe — business/entity compliance use only."
}