EXCLUDEDPROVIDER
Individual Drug Felony

Kathleen A Lake

Springfield, IL 62704

Public HHS-OIG LEIE exclusion record

Kathleen A Lake of Springfield, IL is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1558343103 with a primary specialty of Pediatrics. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Kathleen A Lake is currently excluded from participation in federally funded health care programs due to felony conviction relating to controlled substance, as of June 18, 2015.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Springfield, IL 62704
Exclusion date
June 18, 2015
Exclusion type
Drug Felony (1128a4)
NPI
1558343103

Record summary

Kathleen A Lake appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Springfield, Illinois. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is June 18, 2015, and the exclusion type is 1128a4, identified by HHS-OIG as felony conviction relating to controlled substance.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJune 18, 2015
Exclusion typeFelony conviction relating to controlled substance (1128a4)
NPI1558343103
UPINF57524
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a4 as “Felony conviction relating to controlled substance.” Felony conviction relating to a controlled substance (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 Springfield, IL 62704. The listed provider category is Physician (MD, DO). The listed specialty is Pediatrics.

NPI Registry context

The LEIE record lists NPI 1558343103. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Pediatrics (208000000X). Registered practice location: Springfield, IL. NPI enumeration date: Nov 18, 2005. NPPES status: Active. The NPI Registry lists credential: M.D..

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Springfield, IL

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Springfield, IL address.

Tosheena Mary Latrice Allison Individual Program Crime
Springfield, IL · Conviction of program-related crimes · Excluded Apr 2026
Steven Zink Individual Program Crime
Springfield, IL · Conviction of program-related crimes · Excluded Apr 2025
David Allen Watson Individual Program Crime
Springfield, IL · Conviction of program-related crimes · Excluded Sep 2024
Jackie David Jr Mow Individual Program Crime
Springfield, IL · Conviction of program-related crimes · Excluded Sep 2024
Dezandra Leah Mapp Individual Program Crime
Springfield, IL · Conviction of program-related crimes · Excluded Sep 2024
James Earl III Dent Individual Program Crime
Springfield, IL · Conviction of program-related crimes · Excluded Sep 2024
Tyrone Jackson Individual Program Crime
Springfield, IL · Conviction of program-related crimes · Excluded Aug 2024
Jamie D Gooden Individual Program Crime
Springfield, IL · Conviction of program-related crimes · Excluded Dec 2022

See all 59 excluded providers in Springfield →

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.

Verify this record with the official HHS-OIG source Save or print this record Monitor this provider/entity Need to screen a list? Join the bulk screening beta

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