FATHALLA MASHALI
Debarred entityBorn 19 Nov 1954 (71 years old),United States. Named in 8 sanctions listings.
Summary
UPIN: F97993
State license type / number: N/A / MD-34026
Sanctions and listings8
- Effective
- 20 Aug 2018
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Listed
- 24 Apr 2014
- Effective
- 20 Apr 2014
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
- Effective
- 20 Aug 2018
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
- Listed
- 27 Feb 2015
- Effective
- 30 May 2014
Reciprocal
OPMUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Debarment or Suspension by U.S. Office of Personnel Management from participation as a health care provider in the Federal Employees Health Benefits Program (FEHBP), under the authority of 5 U.S.C. 8902a and implementing regulations at 5 CFR Part 890, Subpart J. Debarred or suspended 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 health benefits plan described by 5 U.S.C. 8903 or section 8903a. **** If both DHHS and OPM have a record for the same individual, please contact the Agency with the earlier Active date for verification.
- Effective
- 20 Apr 2014
Official designation
Hawai'i Department of Human Services, Med-QUEST DivisionUS Hawaii Medicaid Exclusions and ReinstatementsUnited States
- Effective
- 31 Jul 2018
Official designation
Georgia Department of Community HealthUS Georgia Healthcare provider exclusionsUnited States
- Effective
- 20 Apr 2014
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b5
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 20 Aug 2018
Official designation
Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States
Federal Exclusion
Sanction end as published: Federal Authority
OIG - 1128(a)(1)
Positions held1
Period not retained
ANESTHESIOLOGY (PHYSICIAN (MD, DO))
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1386609907 |
Other names2
Also known as2
Addresses4
P O BOX 879, #96065-038, AYER, MA 1432
FMC DEVENS #96065-038, PO BOX 879, AYER, MA 01432
DOVER, MA 02030
153 PINE STREET, DOVER, MA 2030
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