{"entity":{"entity_id":"a5299489-84a5-4d07-9608-a6ecc76e200e","entity_type":"person","display_name":"NEHME ALKARRA","state":"TX","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T08:08:25.932672+00:00","updated_at":"2026-06-11T08:08:25.932672+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"198535","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1386636025","rule":"D-OP-NPI","recipient_profile_id":"198535"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T06:10:51.231703+00:00","recorded_at":"2026-06-13T06:10:51.231703+00:00"},{"id_scheme":"npi","id_value":"1386636025","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1386636025","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T08:08:26.818557+00:00","recorded_at":"2026-06-11T08:08:26.818557+00:00"},{"id_scheme":"pac_id","id_value":"6709785496","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1386636025","rule":"D-PECOS","enrlmt_id":"I20040504001230","pecos_asct_cntl_id":"6709785496"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T17:28:44.414222+00:00","recorded_at":"2026-06-12T17:28:44.414222+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20040504001230","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1386636025","rule":"D-PECOS","enrlmt_id":"I20040504001230"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T17:28:44.414222+00:00","recorded_at":"2026-06-12T17:28:44.414222+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"09925c6f-6858-4586-ac27-f204ded6249a","entity_type":"organization","display_name":"Janssen Pharmaceuticals, Inc","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000000232","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:02:16.461699+00:00","recorded_at":"2026-06-13T14:02:16.461699+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"eb5ea400-a96e-468d-adce-98f107e63e42","entity_type":"organization","display_name":"Bayer Healthcare Pharmaceuticals Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000005467","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:38:55.315763+00:00","recorded_at":"2026-06-13T14:38:55.315763+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"43d39426-7e85-4c26-959c-f244cabb90df","entity_type":"organization","display_name":"Boston Scientific Corporation","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000005674","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:22:29.289427+00:00","recorded_at":"2026-06-13T15:22:29.289427+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"0797abb8-23a4-4401-a089-562b3f1b05b1","entity_type":"organization","display_name":"Novo Nordisk Inc","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000000144","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:38:25.002074+00:00","recorded_at":"2026-06-13T15:38:25.002074+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"09393ae7-8267-4853-8195-1801d4ccac46","entity_type":"organization","display_name":"ABBVIE INC.","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000000204","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:13:03.422419+00:00","recorded_at":"2026-06-13T18:13:03.422419+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"356b2c4e-26dc-4b2e-af63-ccc4c33b855f","entity_type":"organization","display_name":"AstraZeneca Pharmaceuticals LP","state":"DE"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000000146","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:39:15.960768+00:00","recorded_at":"2026-06-13T18:39:15.960768+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"ef18dc11-f311-4b0b-83e2-1df53f09a039","entity_type":"organization","display_name":"Exact Sciences Corporation","state":"WI"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100001341934","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:42:40.983743+00:00","recorded_at":"2026-06-13T20:42:40.983743+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"68ebd987-9b4b-489a-83ec-64e9547a83d7","entity_type":"organization","display_name":"Amgen Inc.","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000000203","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:47:27.121615+00:00","recorded_at":"2026-06-13T20:47:27.121615+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"4bb95475-9c05-4770-9c04-39004ec2ca47","entity_type":"organization","display_name":"GlaxoSmithKline, LLC.","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000005449","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T21:10:19.104111+00:00","recorded_at":"2026-06-13T21:10:19.104111+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"8d52d29f-a92a-4a9f-a9a1-5ddf0ee2f8c3","entity_type":"organization","display_name":"Corcept Therapeutics","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000000247","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:10:48.479778+00:00","recorded_at":"2026-06-13T22:10:48.479778+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"7ac62afc-8fdc-4450-86da-6027061eb62c","entity_type":"organization","display_name":"Boehringer Ingelheim Pharmaceuticals, Inc.","state":"CT"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000000234","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:15:35.454076+00:00","recorded_at":"2026-06-13T22:15:35.454076+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"3eca0d95-2000-43c7-a12a-62b4f65430f4","entity_type":"organization","display_name":"Otsuka America Pharmaceutical, Inc.","state":"MD"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000010723","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:24:39.782803+00:00","recorded_at":"2026-06-13T22:24:39.782803+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"a0fc8d47-d63f-41f6-b5c6-6656eea19645","entity_type":"organization","display_name":"Abbott Laboratories","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000010680","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:14:25.891653+00:00","recorded_at":"2026-06-13T23:14:25.891653+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"4fe18420-2258-4e6e-b1a1-3a2d669c382b","entity_type":"organization","display_name":"Lilly USA, LLC","state":"IN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000000066","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:19:06.510989+00:00","recorded_at":"2026-06-14T01:19:06.510989+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b19fc3df-bc10-48d5-9730-c0cc09b3112d","entity_type":"organization","display_name":"Astellas Pharma US Inc","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000000137","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:28:54.881622+00:00","recorded_at":"2026-06-14T02:28:54.881622+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"517d3d48-b783-4b26-93e8-7f362245d83c","entity_type":"organization","display_name":"ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000781818","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:40:53.324584+00:00","recorded_at":"2026-06-14T03:40:53.324584+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"206741a2-c94d-4332-8b5b-b8008dcbe49e","entity_type":"organization","display_name":"Lundbeck LLC","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000000236","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:19:37.813091+00:00","recorded_at":"2026-06-14T04:19:37.813091+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"95d553b7-3c00-49cb-8263-bc6e440b0e12","entity_type":"organization","display_name":"IDORSIA PHARMACEUTICALS US INC","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100001171891","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:34:46.433385+00:00","recorded_at":"2026-06-14T04:34:46.433385+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"eae92bad-926b-4c84-8d3f-67a7806d8f67","entity_type":"organization","display_name":"AIMMUNE THERAPEUTICS, INC.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000776814","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:39:54.43861+00:00","recorded_at":"2026-06-14T04:39:54.43861+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"58060257-94c6-4746-9304-4f12a41f2409","entity_type":"organization","display_name":"Teva Pharmaceuticals USA, Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000000141","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:45:16.790125+00:00","recorded_at":"2026-06-14T05:45:16.790125+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"36b48fc5-0a2b-4502-924a-0e667cbd5f9c","entity_type":"organization","display_name":"Salix Pharmaceuticals, a division of Bausch Health US, LLC","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000226817","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:17:52.772876+00:00","recorded_at":"2026-06-14T06:17:52.772876+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"1d4c431f-d519-49dc-971a-7203fe29ba43","entity_type":"organization","display_name":"SK Life Science, Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1386636025","manufacturer_id":"100000726811","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:31:29.953017+00:00","recorded_at":"2026-06-14T06:31:29.953017+00:00"},{"direction":"outbound","edge_type":"owns","neighbor":{"entity_id":"c2b81cab-af8c-4deb-9e3d-335e87a91048","entity_type":"organization","display_name":"LIBERTY COUNTY HOSPITAL DISTRICT NO. 1","state":"TX"},"attributes":{"role_code":"43","association_date":"11/11/2022","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"6709785496","source_pk":150502,"type_owner":"I","enrollment_id":"O20150724010060","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pac_id","percentage_ownership_raw":null,"enrollment_organization_name":"LIBERTY COUNTY HOSPITAL DISTRICT NO. 1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T15:51:09.947746+00:00","recorded_at":"2026-06-14T15:51:09.947746+00:00"},{"direction":"outbound","edge_type":"owns","neighbor":{"entity_id":"b232c6a4-9552-4270-8c60-a7787bbcdda2","entity_type":"organization","display_name":"OAKBEND MEDICAL CENTER","state":"TX"},"attributes":{"role_code":"43","association_date":"03/31/2017","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"6709785496","source_pk":169491,"type_owner":"I","enrollment_id":"O20170706000563","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pac_id","percentage_ownership_raw":null,"enrollment_organization_name":"OAKBEND MEDICAL CENTER"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T15:52:36.013428+00:00","recorded_at":"2026-06-14T15:52:36.013428+00:00"},{"direction":"outbound","edge_type":"owns","neighbor":{"entity_id":"2467e382-0b51-4bdf-a0d9-c5e121617cbf","entity_type":"organization","display_name":"WINNIE-STOWELL HOSPITAL DISTRICT","state":"TX"},"attributes":{"role_code":"72","association_date":"01/01/2014","percentage_ownership":null},"link_confidence":1,"source_table":"snf_all_owners","source_evidence":{"rule":"D-OWNER","owner_pac":"6709785496","source_pk":233187,"type_owner":"I","enrollment_id":"O20230320002964","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pac_id","percentage_ownership_raw":null,"enrollment_organization_name":"WINNIE-STOWELL HOSPITAL DISTRICT"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T15:57:12.788574+00:00","recorded_at":"2026-06-14T15:57:12.788574+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}