This provider appears on OIG LEIE and SAM.gov federal exclusion lists. Reason: License revocation or suspension. Exclusion date: 2017-04-20.
Listing this provider in a network directory may constitute a compliance violation and expose the carrier to civil monetary penalties.
NPI 1063482198 · Family Medicine · Kpic
Provider appears on federal exclusion list while listed in 2 active carrier networks.
NPPES
LITTLETON, 80123
Freshness: Stale (last updated 2008-03-31)
6,550 days since update
Network Status
Listed with 2 carriers
DORA License
Active
Medicare
Not enrolled in Medicare (PECOS)
Care Compare
No Care Compare data
Federal Exclusion
License revocation or suspension
Sources: OIG LEIE, SAM.gov
Excluded since: 2017-04-20
Automatic "confirmed" ghost indicator
Active NPI with specialty classification
DORA license expired or revoked
No Medicare billing · No electronic endpoint · No PECOS enrollment
Single address source (NPPES)
Limited carrier network presence
2 networks across 1 carrier
Listed in 2 carrier networks despite federal exclusion — carriers may not be aware of exclusion status.
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.
PECOS Enrollment
No PECOS data