EXCLUDEDPROVIDER
Individual Revocation

Kimberly Ming Chan

Tacoma, WA 98402

Public HHS-OIG LEIE exclusion record

Kimberly Ming Chan of Tacoma, WA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1194896779 with a primary specialty of Surgery. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Kimberly Ming Chan is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of August 20, 2013.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Tacoma, WA 98402
Exclusion date
August 20, 2013
Exclusion type
Revocation (1128b4)
NPI
1194896779

Record summary

Kimberly Ming Chan appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Tacoma, Washington. 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 August 20, 2013, 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 dateAugust 20, 2013
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1194896779
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 Tacoma, WA 98402. The listed provider category is Physician (MD, DO). The listed specialty is Surgery.

NPI Registry context

The LEIE record lists NPI 1194896779. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Surgery (208600000X). Registered practice location: Silverdale, WA. NPI enumeration date: Nov 13, 2006. 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 Tacoma, WA

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

Anthony David Benavente Individual Revocation
Tacoma, WA · License revocation, suspension, or surrender · Excluded Aug 2024
Kasandra Adelle Oliver Individual Revocation
Tacoma, WA · License revocation, suspension, or surrender · Excluded Sep 2022
Samuel N Njoroge Individual Revocation
Tacoma, WA · License revocation, suspension, or surrender · Excluded Jul 2022
Joshua Harold Chipperfield Individual Patient Abuse
Tacoma, WA · Conviction relating to patient abuse or neglect · Excluded Jul 2022
Timothy Robert Sr Test Individual Program Crime
Tacoma, WA · Conviction of program-related crimes · Excluded Mar 2022
Eric Keith Young Individual Patient Abuse
Tacoma, WA · Conviction relating to patient abuse or neglect · Excluded Oct 2018
Lori Lynn Russell Individual Revocation
Tacoma, WA · License revocation, suspension, or surrender · Excluded Jul 2018
Khya Lareina Flores Individual Revocation
Tacoma, WA · License revocation, suspension, or surrender · Excluded Jun 2018

See all 80 excluded providers in Tacoma →

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

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