{ "builtAt": "2026-08-20T07:26:40.930Z", "detector": "leie_excluded_but_npi_active (exact NPI-id, confidence 1.0)", "totalKnownDisagreements": 500, "items": [ { "npi": "1306891916", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306891916" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "MORITZ, JOHN", "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": "JOHN MORITZ", "status": "A", "enumerationDate": "2006-05-23", "taxonomy": "Hospitalist", "state": "FL", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306891916" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306891916 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": "2026-08-20T07:26:40.240Z" }, { "npi": "1306889894", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306889894" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "STRAUSS, JON", "exclusionType": "1128b4", "excludedSince": "2014-08-20", "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": "JON STRAUSS", "status": "A", "enumerationDate": "2006-06-13", "taxonomy": "Family Medicine", "state": "KY", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306889894" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306889894 as EXCLUDED from federal health programs (since 2014-08-20), 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": "2026-08-20T07:26:39.804Z" }, { "npi": "1306883558", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306883558" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "ROTHCHILD, SUZANNE", "exclusionType": "1128b4", "excludedSince": "2014-05-20", "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": "SUZANNE ROTHCHILD", "status": "A", "enumerationDate": "2006-05-31", "taxonomy": "Obstetrics & Gynecology", "state": "MA", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306883558" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306883558 as EXCLUDED from federal health programs (since 2014-05-20), 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": "2026-08-20T07:26:39.352Z" }, { "npi": "1306877766", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306877766" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "MARQUEZ, RICARDO", "exclusionType": "1128a4", "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": "RICHARD MARQUEZ", "status": "A", "enumerationDate": "2006-07-05", "taxonomy": "Physician Assistant, Medical", "state": "TX", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306877766" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306877766 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": "2026-08-20T07:26:38.922Z" }, { "npi": "1306875604", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306875604" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "OTTINGER, WANDA", "exclusionType": "1128b7", "excludedSince": "2013-12-13", "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": "WANDA OTTINGER", "status": "A", "enumerationDate": "2006-07-01", "taxonomy": "Physician Assistant", "state": "MI", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306875604" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306875604 as EXCLUDED from federal health programs (since 2013-12-13), 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": "2026-08-20T07:26:38.518Z" }, { "npi": "1306873955", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306873955" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "RIVERA-MORALES, EDGARD", "exclusionType": "1128a1", "excludedSince": "2013-10-20", "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": "EDGARD RIVERA MORALES", "status": "A", "enumerationDate": "2006-06-27", "taxonomy": "General Practice", "state": "PR", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306873955" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306873955 as EXCLUDED from federal health programs (since 2013-10-20), 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": "2026-08-20T07:26:38.078Z" }, { "npi": "1306871025", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306871025" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "SKINNER, DARREN", "exclusionType": "1128a4", "excludedSince": "2013-10-20", "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": "DARREN SKINNER", "status": "A", "enumerationDate": "2006-07-11", "taxonomy": "Social Worker", "state": "PA", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306871025" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306871025 as EXCLUDED from federal health programs (since 2013-10-20), 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": "2026-08-20T07:26:37.641Z" }, { "npi": "1306868245", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306868245" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "KHUU, CHAU", "exclusionType": "1128b4", "excludedSince": "2016-12-20", "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": "CHAU KHUU", "status": "A", "enumerationDate": "2006-07-23", "taxonomy": "Anesthesiology, Pain Medicine", "state": "NY", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306868245" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306868245 as EXCLUDED from federal health programs (since 2016-12-20), 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": "2026-08-20T07:26:37.255Z" }, { "npi": "1306867742", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306867742" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "PLUMMER, KENRITH", "exclusionType": "1128b4", "excludedSince": "2018-05-20", "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": "KENRITH PLUMMER", "status": "A", "enumerationDate": "2006-07-21", "taxonomy": "Physician Assistant", "state": "MA", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306867742" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306867742 as EXCLUDED from federal health programs (since 2018-05-20), 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": "2026-08-20T07:26:36.858Z" }, { "npi": "1306865746", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306865746" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "MAASSEN, MARTIN", "exclusionType": "1128b4", "excludedSince": "2025-10-20", "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": "MARTIN MAASSEN", "status": "A", "enumerationDate": "2006-07-18", "taxonomy": "Emergency Medicine", "state": "IN", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306865746" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306865746 as EXCLUDED from federal health programs (since 2025-10-20), 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": "2026-08-20T07:26:36.474Z" }, { "npi": "1306854369", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306854369" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "MALAY, JADE", "exclusionType": "1128b7", "excludedSince": "2021-12-10", "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": "JADE MALAY", "status": "A", "enumerationDate": "2006-08-04", "taxonomy": "Nurse Practitioner, Family", "state": "TX", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306854369" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306854369 as EXCLUDED from federal health programs (since 2021-12-10), 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": "2026-08-20T07:26:35.898Z" }, { "npi": "1306853221", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306853221" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "DABABNEH, MALIK", "exclusionType": "1128a4", "excludedSince": "2016-01-20", "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": "MALIK DABABNEH", "status": "A", "enumerationDate": "2006-08-02", "taxonomy": "Family Medicine", "state": "MI", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306853221" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306853221 as EXCLUDED from federal health programs (since 2016-01-20), 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": "2026-08-20T07:26:35.510Z" }, { "npi": "1306852041", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306852041" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "ORLOV, ALEXANDER", "exclusionType": "1128a1", "excludedSince": "2011-10-20", "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": "ALEXANDER ORLOV", "status": "A", "enumerationDate": "2006-08-01", "taxonomy": "Family Medicine", "state": "TX", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306852041" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306852041 as EXCLUDED from federal health programs (since 2011-10-20), 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": "2026-08-20T07:26:35.061Z" }, { "npi": "1306838123", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306838123" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "CHIRBAN, ANGELO", "exclusionType": "1128a1", "excludedSince": "2013-09-19", "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": "ANGELO CHIRBAN", "status": "A", "enumerationDate": "2005-08-17", "taxonomy": "Specialist", "state": "AZ", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306838123" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306838123 as EXCLUDED from federal health programs (since 2013-09-19), 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": "2026-08-20T07:26:34.715Z" }, { "npi": "1306834643", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306834643" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "DAHLIN, JAN", "exclusionType": "1128b4", "excludedSince": "2008-12-18", "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": "JAN DAHLIN", "status": "A", "enumerationDate": "2005-10-11", "taxonomy": "Orthopaedic Surgery", "state": "ID", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306834643" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306834643 as EXCLUDED from federal health programs (since 2008-12-18), 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": "2026-08-20T07:26:34.384Z" }, { "npi": "1306832746", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306832746" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "BELCHER, WARREN", "exclusionType": "1128a3", "excludedSince": "2021-10-20", "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": "WARREN BELCHER", "status": "A", "enumerationDate": "2005-09-21", "taxonomy": "Chiropractor, Nutrition", "state": "MD", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306832746" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306832746 as EXCLUDED from federal health programs (since 2021-10-20), 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": "2026-08-20T07:26:33.767Z" }, { "npi": "1306831300", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306831300" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "DAVIDA, ARTHUR", "exclusionType": "1128a1", "excludedSince": "2016-04-20", "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": "ARTHUR DAVIDA", "status": "A", "enumerationDate": "2005-09-15", "taxonomy": "Family Medicine", "state": "IL", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306831300" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306831300 as EXCLUDED from federal health programs (since 2016-04-20), 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": "2026-08-20T07:26:33.318Z" }, { "npi": "1306830021", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306830021" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "HEDVAT, YAHYA", "exclusionType": "1128a4", "excludedSince": "2015-09-20", "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": "YAHYA HEDVAT", "status": "A", "enumerationDate": "2005-09-08", "taxonomy": "Internal Medicine", "state": "CA", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306830021" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306830021 as EXCLUDED from federal health programs (since 2015-09-20), 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": "2026-08-20T07:26:32.923Z" }, { "npi": "1306826318", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306826318" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "FIELD, FREDERICK", "exclusionType": "1128a2", "excludedSince": "2014-06-19", "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": "FREDERICK FIELD", "status": "A", "enumerationDate": "2006-01-18", "taxonomy": "Anesthesiology", "state": "OR", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306826318" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306826318 as EXCLUDED from federal health programs (since 2014-06-19), 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": "2026-08-20T07:26:32.519Z" }, { "npi": "1306815568", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306815568" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "NICASTRO, MATTHEW", "exclusionType": "1128a3", "excludedSince": "2010-03-18", "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": "MATT NICASTRO", "status": "A", "enumerationDate": "2006-03-17", "taxonomy": "Chiropractor", "state": "PA", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306815568" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306815568 as EXCLUDED from federal health programs (since 2010-03-18), 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": "2026-08-20T07:26:31.970Z" }, { "npi": "1306807797", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306807797" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "ALEXANDER, HAROLD", "exclusionType": "1128b4", "excludedSince": "2017-03-20", "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": "HAROLD ALEXANDER", "status": "A", "enumerationDate": "2006-03-28", "taxonomy": "Obstetrics & Gynecology", "state": "MD", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306807797" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306807797 as EXCLUDED from federal health programs (since 2017-03-20), 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": "2026-08-20T07:26:31.533Z" }, { "npi": "1306572821", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306572821" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "AGBOOLA, FAKAYATU", "exclusionType": "1128b4", "excludedSince": "2024-01-18", "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": "FAKAYATU AGBOOLA", "status": "A", "enumerationDate": "2022-07-27", "taxonomy": "Registered Nurse", "state": "GA", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306572821" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306572821 as EXCLUDED from federal health programs (since 2024-01-18), 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": "2026-08-20T07:26:31.095Z" }, { "npi": "1306470315", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306470315" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "BERRO, SUZAN", "exclusionType": "1128a3", "excludedSince": "2024-03-20", "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": "SUZAN BERRO", "status": "A", "enumerationDate": "2020-02-28", "taxonomy": "Behavior Technician", "state": "MI", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306470315" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306470315 as EXCLUDED from federal health programs (since 2024-03-20), 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": "2026-08-20T07:26:30.646Z" }, { "npi": "1306420971", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306420971" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "MCCURTAIN, DEBRA", "exclusionType": "1128b4", "excludedSince": "2024-10-20", "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": "DEBRA MCCURTAINMURRY", "status": "A", "enumerationDate": "2021-05-10", "taxonomy": "Nurse Practitioner", "state": "NV", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306420971" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306420971 as EXCLUDED from federal health programs (since 2024-10-20), 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": "2026-08-20T07:26:30.203Z" }, { "npi": "1306376124", "type": "leie_excluded_but_npi_active", "severity": "high", "matchConfidence": 1, "matchBasis": "exact-id", "sharedIdentifier": { "kind": "NPI", "value": "1306376124" }, "sources": [ { "agency": "HHS-OIG", "role": "exclusion", "record": "Listed on the OIG List of Excluded Individuals/Entities (LEIE)", "name": "RUSS, MICHAEL", "exclusionType": "1128b4", "excludedSince": "2024-10-20", "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 RUSS", "status": "A", "enumerationDate": "2017-06-14", "taxonomy": "Social Worker, Clinical", "state": "IN", "source": "https://npiregistry.cms.hhs.gov/provider-view/1306376124" } ], "summary": "Two federal records disagree: HHS-OIG lists NPI 1306376124 as EXCLUDED from federal health programs (since 2024-10-20), 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": "2026-08-20T07:26:29.848Z" } ], "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." }