EXCLUDEDPROVIDER
Individual Revocation

Paul Charles Serra

Wallingford, PA 19086

Public HHS-OIG LEIE exclusion record

Paul Charles Serra of Wallingford, PA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1811938418 with a primary specialty of Family Medicine. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Paul Charles Serra is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of May 20, 2024.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Wallingford, PA 19086
Exclusion date
May 20, 2024
Exclusion type
Revocation (1128b4)
NPI
1811938418

Record summary

Paul Charles Serra appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Wallingford, Pennsylvania. 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 May 20, 2024, 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 dateMay 20, 2024
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1811938418
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 Wallingford, PA 19086. The listed provider category is Physician (MD, DO). The listed specialty is General Practice.

NPI Registry context

The LEIE record lists NPI 1811938418. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Family Medicine (207Q00000X). Registered practice location: Somerset, PA. NPI enumeration date: Jun 8, 2006. NPPES status: Active. The NPI Registry lists credential: MD.

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 Wallingford, PA

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

Martin Wynne Individual Revocation
Wallingford, PA · License revocation, suspension, or surrender · Excluded Jun 2016
Michael Flynn Individual Controlled Substance
Wallingford, PA · Felony conviction relating to controlled substance · Excluded Jun 2015
Bruce M Bogdanoff Individual Patient Abuse
Wallingford, PA · Conviction relating to patient abuse or neglect · Excluded Jun 2003
James Joseph Jr Long Individual Revocation
Wallingford, PA · License revocation, suspension, or surrender · Excluded Aug 2000

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 with HHS-OIG Remove / correct this record

Related

More excluded individuals in Pennsylvania More records in Wallingford More license revocation, suspension, or surrender records