SHAH SAMIRKUMAR J
Debarred entityBorn 19 Apr 1963 (63 years old),United States. Named in 7 sanctions listings.
Summary
License number: PROMISe#: 001556616
Sanctions and listings7
- Effective
- 5 Aug 2021
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 20 Jul 2022
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a1
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 20 Jul 2022
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Federal and MA indefinite suspension Criminal Conviction
- Effective
- 7 Jul 2016
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Listed
- 30 Nov 2022
- Effective
- 7 Nov 2022
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Debarment or Suspension by the U.S. Office of Personnel Management under the authority of 5 U.S.C. 8902a and implementing regulations at 5 CFR Part 890, Subpart J, excludes health care providers from participation in the Federal Employees Health Benefits Program (FEHBP). Debarred or suspended health care providers are prohibited from receiving payment, directly or indirectly, from FEHBP funds for items or services furnished to an employee, annuitant, family member, or former spouse covered by a federal health benefits plan.
- Effective
- 23 Sep 2019
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited States
- Effective
- 20 Jul 2022
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
Positions held2
Period not retained
(MD)
Period not retained
CARDIOLOGY (PHYSICIAN (MD, DO))
Identifiers3
| Identifier | Number |
|---|---|
| ID number | MD050641L |
| ID number | 00251960 |
| NPI number | 1790753739 |
Other names3
Also known as3
Addresses5
P O BOX 2000, #37943-068, JOINT BASE MDL, NJ 8640
JOINT BASE MDL, NJ 08640
(NJ), (NJ)
Allegheny, PA
NJ, NJ
United States
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