EXCLUDEDPROVIDER
Individual Program Crime

Farid Moghaddam

Cumming, GA 30040

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 Farid Moghaddam of Cumming, GA with exclusion type 1128a1, which HHS-OIG's list of exclusion authorities describes as “conviction of program-related crimes”, and an exclusion date of June 18, 2026. This page is not an official HHS-OIG record, and a matching name alone does not show that the record refers to a particular person; confirm identity and current status with HHS-OIG.

The LEIE record lists NPI 1184635484.

Status
Listed in the LEIE file imported October 4, 2026
Record type
Individual
Location
Cumming, GA 30040
Exclusion date
June 18, 2026
Exclusion type
Program Crime (1128a1)
NPI (as listed in LEIE)
1184635484

Record summary

Farid Moghaddam appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Cumming, Georgia. The exclusion date shown in the source record is June 18, 2026. The exclusion type is 1128a1, identified by HHS-OIG as conviction of program-related crimes.

Source record

SourceHHS-OIG LEIE downloadable file (UPDATED.csv)
Record typeIndividual
Status in imported filesListed in the LEIE file imported October 4, 2026
Exclusion dateJune 18, 2026
Exclusion typeConviction of program-related crimes (1128a1)
NPI (as listed in LEIE)1184635484
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 1128a1 as “Conviction of program-related crimes.” Conviction of a criminal offense related to the delivery of an item or service under Medicare or a State health care program (mandatory exclusion, minimum 5 years).

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 Cumming, GA 30040. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Dentist.

NPI Registry context

The LEIE record lists NPI 1184635484. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Dentist (122300000X). Registered practice location: Cumming, GA. NPI enumeration date: Aug 11, 2006. NPPES status: Active. The NPI Registry lists credential: D.M.D..

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 Cumming, GA

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

Robert Earl Jr Windsor Individual Program Crime
Cumming, GA · Conviction of program-related crimes · Exclusion date May 18, 2017
Omar Avila Individual Felony Fraud
Cumming, GA · Felony conviction relating to health care fraud · Exclusion date Oct 20, 2016
James F Street Individual Loan Default
Cumming, GA · Default on health education loan or scholarship obligations · Exclusion date Aug 20, 2013
Gina Reardon Individual Program Crime
Cumming, GA · Conviction of program-related crimes · Exclusion date Jun 20, 2005
Heather Beck Individual Program Crime
Cumming, GA · Conviction of program-related crimes · Exclusion date Jan 19, 2005
Daniel Cotterman Individual Patient Abuse
Cumming, GA · Conviction relating to patient abuse or neglect · Exclusion date Mar 18, 2004
Michael J Renzulli Individual Loan Default
Cumming, GA · Default on health education loan or scholarship obligations · Exclusion date Jan 1, 1997
Abbas Halim Demetrios Individual Revocation
Cumming, GA · License revocation, suspension, or surrender · Exclusion date Feb 22, 1995

See all 10 excluded providers in Cumming →

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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