RUDIN ANDREW SCOTT MD
Debarred entityBorn 20 Apr 1969 (57 years old),United States. Named in 6 sanctions listings.
Summary
State license type / number: IL / 36.102
State license type / number: MD / 36.102
Sanctions and listings6
- Effective
- 20 Jan 2025
Official designation
Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States
Federal Exclusion
Sanction end as published: Federal Authority
OIG 1128(a)(3)
- Effective
- 20 Jan 2025
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a3
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 13 May 2019
Official designation
Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States
OTHER STATE TERMINATION
- Effective
- 12 May 2019
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Listed
- 24 Mar 2025
- Effective
- 28 Feb 2025
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
- 14 Feb 2025
Official designation
Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States
Sanction end as published: Indefinite
Termination
441 IAC 79.2(2)(f)(k)(m)(n)(s)
Positions held1
Period not retained
INTERNAL MEDICINE (PHYSICIAN (MD, DO))
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00207786 |
| NPI number | 1255373452 |
Other names2
Also known as2
Addresses2
3926 W TOUHY AVENUE, UNIT 357, LINCOLNWOOD, IL 60712
LINCOLNWOOD, IL 60712
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