EXCLUDEDPROVIDER
Entity Program Suspension

Southside Clinic, INC

Ballwin, MO 63021

Public HHS-OIG LEIE exclusion record

The HHS-OIG List of Excluded Individuals/Entities (LEIE) file imported by ExcludedProvider.com on October 4, 2026 contains a record for Southside Clinic, INC of Ballwin, MO with exclusion type 1128b5, which HHS-OIG's list of exclusion authorities describes as “exclusion or suspension under a federal or state health care program”, and an exclusion date of April 19, 2012. This page is not an official HHS-OIG record, and a matching name alone does not show that the record refers to a particular organization; confirm identity and current status with HHS-OIG.

The LEIE record lists NPI 1497823314.

Status
Listed in the LEIE file imported October 4, 2026
Record type
Entity
Location
Ballwin, MO 63021
Exclusion date
April 19, 2012
Exclusion type
Program Suspension (1128b5)
NPI (as listed in LEIE)
1497823314

Record summary

Southside Clinic, INC appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an entity record associated with Ballwin, Missouri. The exclusion date shown in the source record is April 19, 2012. The exclusion type is 1128b5, identified by HHS-OIG as exclusion or suspension under a federal or state health care program.

Source record

SourceHHS-OIG LEIE downloadable file (UPDATED.csv)
Record typeEntity
Status in imported filesListed in the LEIE file imported October 4, 2026
Exclusion dateApril 19, 2012
Exclusion typeExclusion or suspension under a federal or state health care program (1128b5)
NPI (as listed in LEIE)1497823314
LEIE file importedOctober 4, 2026
File timestampSeptember 10, 2026 (Last-Modified header from the HHS-OIG download server; not an official release date)
HHS-OIG release dateNot independently verified

What this exclusion type means

HHS-OIG identifies exclusion type 1128b5 as “Exclusion or suspension under a federal or state health care program.” Exclusion or suspension under a federal or state health care program (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Ballwin, MO 63021. The listed provider category is Physician Practice. The listed specialty is General Practice.

NPI Registry context

The LEIE record lists NPI 1497823314. CMS NPPES public registry data lists this NPI as an organization record with primary taxonomy Clinic/Center, Rural Health (261QR1300X). Registered practice location: Mount Vernon, IL. NPI enumeration date: Nov 30, 2006. NPPES status: Active.

NPI Registry data is administrative provider-identification data from CMS. The NPI above is the one written in the LEIE record; this page does not confirm that the registry entry and the LEIE record refer to the same provider, and registry data does not verify or explain the exclusion. Verify identity and exclusion status directly with HHS-OIG.

Other excluded providers in Ballwin, MO

Other individuals and entities in the latest imported HHS-OIG LEIE file with a Ballwin, MO address.

Makin Uddin Ahmed Individual Revocation
Ballwin, MO · License revocation, suspension, or surrender · Exclusion date Jan 20, 2026
Kathleen Marie Holliday Individual Revocation
Ballwin, MO · License revocation, suspension, or surrender · Exclusion date Mar 20, 2025
Yvette Jacinta Thomas Individual Program Crime
Ballwin, MO · Conviction of program-related crimes · Exclusion date Jan 20, 2025
Michael J Mccormac Individual Program Crime
Ballwin, MO · Conviction of program-related crimes · Exclusion date Nov 20, 2024
Hend Msallati Individual Program Crime
Ballwin, MO · Conviction of program-related crimes · Exclusion date Jul 20, 2020
Rehan Anwar Rana Individual Program Crime
Ballwin, MO · Conviction of program-related crimes · Exclusion date Feb 20, 2020
Michael David Russo Individual Revocation
Ballwin, MO · License revocation, suspension, or surrender · Exclusion date Nov 20, 2017
Walter Javier Martinez Individual Patient Abuse
Ballwin, MO · Conviction relating to patient abuse or neglect · Exclusion date Jul 20, 2017

See all 23 excluded providers in Ballwin →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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Related

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