EXCLUDEDPROVIDER
Individual Revocation

Calixto Manuel Barrueco

Hollis, NY 11423

Public HHS-OIG LEIE exclusion record

Calixto Manuel Barrueco of Hollis, NY is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1689757536 with a primary specialty of Dentist, General Practice. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Calixto Manuel Barrueco is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of December 20, 2009.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Hollis, NY 11423
Exclusion date
December 20, 2009
Exclusion type
Revocation (1128b4)
NPI
1689757536

Record summary

Calixto Manuel Barrueco appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Hollis, New York. 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 December 20, 2009, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateDecember 20, 2009
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1689757536
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (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 Hollis, NY 11423. The listed provider category is Dental Practice. The listed specialty is Dentist.

NPI Registry context

The LEIE record lists NPI 1689757536. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Dentist, General Practice (1223G0001X). Registered practice location: Amsterdam, NY. NPI enumeration date: Oct 23, 2006. NPPES status: Active. The NPI Registry lists credential: d,d.s.

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 Hollis, NY

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

Anthony Hema Individual Patient Abuse
Hollis, NY · Conviction relating to patient abuse or neglect · Excluded Aug 2018
Keva W Johnson Individual Program Crime
Hollis, NY · Conviction of program-related crimes · Excluded Jan 2018
Dorothy Ogundu Individual Fraud
Hollis, NY · Conviction relating to fraud · Excluded Jul 2017
John L Joseph Individual Drug Felony
Hollis, NY · Felony conviction relating to controlled substance · Excluded Jul 2017
Marie Nadia Jean-baptiste Individual Fraud
Hollis, NY · Conviction relating to fraud · Excluded Jan 2017
Rafik Gavrielov Individual Program Crime
Hollis, NY · Conviction of program-related crimes · Excluded Feb 2016
Virgilio R Taveras Individual Program Crime
Hollis, NY · Conviction of program-related crimes · Excluded Oct 2014
Calixto M Barrueco Individual Program Crime
Hollis, NY · Conviction of program-related crimes · Excluded Aug 2010

See all 16 excluded providers in Hollis →

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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Related

More Excluded Individuals in New York More Records in Hollis More Revocation Records