Excluded Providers


Pursuant to the regulation 42 CFR 1002.212, if a State agency initiates an exclusion pursuant to the regulation 42 CFR 1002.210, the State must provide notice to the individual or entity subject to the exclusion, as well as other State agencies; the State medical licensing board, as applicable; the public; beneficiaries; and others as provided in 42 CFR 1001.2005 and 42 CFR 1001.2006.

Office of Inspector General is in the process of creating a searchable database. The following list contains Medicaid providers who have been excluded by AHCCCS from participating in Arizona’s Medicaid agency.


First Name Last Name / Company Name Term Date Specialty NPI Number
RICHARD J. LEWIS 06/20/2012 Cardiovascular Medicine 1376516955
PETER A. BASSETT 10/26/2012 Surgery, Oral & Maxillofacial 1083677249
DESERT FOOTHILLS A.C.H. 4 03/072013
AAA MEDICAL EQUIPMENT 02/12/2007 1043237795
GERALD S. ASIN 09/24/2010 Internal Medicine 1770576365
DEBORAH A. MARTIN 07/02/2002 RN Midwife
HURST HOME, INC. 3/27/2013
STEPHEN W. MARTIN 07/02/2002 RN Family Nurse Practitioner
FOR THE COMMUNITY SERV. 12/20/2009 1881753184
FOR THE COMMUNITY SERVICE 12/20/2009
ROY A. OTTINGER II 07/16/2007 1336363787
COMMUNITY PHARMACY II 06/12/2010 1306033881
COMMUNITY PHARMACY 06/12/2010 1568473130
AHWATUKEE ADULT CARE 1 06/16/2011 1508002932
MATTHEW ANDERSON JR 11/10/2010
AGUILAR TRANSPORT. SRVCS 01/26/2001
GRANT K. SHAPIRO 05/26/2010 1417915463
THE COMFORT HOME 3/16/2013
COREY W. GILLILAND 06/17/2011 Family & General Practice 1043335136
HEALTH HORIZONS INC 07/02/2002
SHARON L. CAULDER 12/24/2012 Therapist, Physical 1942336383
AHWATUKEE ADULT CARE #1 06/16/2011
WHITE DOVE ADLT HOME CARE 2/2/2013
HEALTH HORIZONS 04/30/2002
HURST HOMES INC - WESTERN 3/27/2013
HURST HOMES INC - NORTH 3/27/2013
HURST HOMES INC - EASTERN 3/27/2013
HURST HOMES INC - MORNING 3/27/2013
WARREN L. MOODY 08/16/2012 Internal Medicine 1548258015
SUMIT DEWANJEE 01/10/2014 1831153600