{"entity":{"entity_id":"964964ce-aeee-46af-9dbe-034e2e575991","entity_type":"person","display_name":"KARL D'SILVA","state":"MA","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T10:42:08.022196+00:00","updated_at":"2026-06-11T10:42:08.022196+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"26219","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1598711160","rule":"D-OP-NPI","recipient_profile_id":"26219"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T07:19:49.758987+00:00","recorded_at":"2026-06-13T07:19:49.758987+00:00"},{"id_scheme":"npi","id_value":"1598711160","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1598711160","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T10:42:10.361677+00:00","recorded_at":"2026-06-11T10:42:10.361677+00:00"},{"id_scheme":"pac_id","id_value":"9335237866","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1598711160","rule":"D-PECOS","enrlmt_id":"I20090720000375","pecos_asct_cntl_id":"9335237866"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:27:08.083614+00:00","recorded_at":"2026-06-12T18:27:08.083614+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20090720000375","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1598711160","rule":"D-PECOS","enrlmt_id":"I20090720000375"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:27:08.083614+00:00","recorded_at":"2026-06-12T18:27:08.083614+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"f99c593e-1a6f-45a3-8027-ac911ca88b76","entity_type":"organization","display_name":"Janssen Biotech, 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":"1598711160","manufacturer_id":"100000000329","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:12:08.795385+00:00","recorded_at":"2026-06-13T14:12:08.795385+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"07b09672-1f2e-4470-9257-2e48b499b6bf","entity_type":"organization","display_name":"SpringWorks Therapeutics, 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":"1598711160","manufacturer_id":"100001447784","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:31:23.250696+00:00","recorded_at":"2026-06-13T14:31:23.250696+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":"1598711160","manufacturer_id":"100000005467","nature_of_payment":"Travel and Lodging"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:31:40.486134+00:00","recorded_at":"2026-06-13T14:31:40.486134+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"df99ffb6-1332-49b9-b010-24154190b39e","entity_type":"organization","display_name":"Ipsen Biopharmaceuticals, Inc","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":"1598711160","manufacturer_id":"100000000123","nature_of_payment":"Travel and Lodging"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:12:47.768426+00:00","recorded_at":"2026-06-13T15:12:47.768426+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"184b7a9c-8f38-46d7-b131-e210351f4c19","entity_type":"organization","display_name":"E.R. Squibb & Sons, L.L.C.","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":"1598711160","manufacturer_id":"100000005499","nature_of_payment":"Education"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:07:17.072559+00:00","recorded_at":"2026-06-13T18:07:17.072559+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":"1598711160","manufacturer_id":"100000000204","nature_of_payment":"Education"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:27:08.472378+00:00","recorded_at":"2026-06-13T18:27:08.472378+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":"1598711160","manufacturer_id":"100000000146","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:30:10.593089+00:00","recorded_at":"2026-06-13T18:30:10.593089+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b95a1cbf-43b7-4f67-ae1b-5313941c68c7","entity_type":"organization","display_name":"Regeneron Pharmaceuticals, Inc.","state":"NY"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598711160","manufacturer_id":"100000000069","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:40:06.727788+00:00","recorded_at":"2026-06-13T20:40:06.727788+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"2e60920a-7804-4d89-bca2-c79a12e20a08","entity_type":"organization","display_name":"Stryker Corporation","state":"MI"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598711160","manufacturer_id":"100000010503","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:42:08.145265+00:00","recorded_at":"2026-06-13T22:42:08.145265+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"08f36e51-eaa4-4e4b-ab77-94b0fd97190e","entity_type":"organization","display_name":"BeiGene USA, Inc.","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":"1598711160","manufacturer_id":"100000826832","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:59:50.724996+00:00","recorded_at":"2026-06-13T22:59:50.724996+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"32e644e3-5d12-4d5f-8c6d-7a20f56f3aef","entity_type":"organization","display_name":"Dr.Reddy's Laboratories,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":"1598711160","manufacturer_id":"100000005388","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:36:00.185054+00:00","recorded_at":"2026-06-13T23:36:00.185054+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"cf82f7f5-9f0e-48d6-b2a2-56fbbcc1235b","entity_type":"organization","display_name":"PFIZER INC.","state":"NY"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598711160","manufacturer_id":"100000000286","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:55:23.455984+00:00","recorded_at":"2026-06-13T23:55:23.455984+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"0321551f-5738-428d-98e4-27080b59b7b5","entity_type":"organization","display_name":"ARRAY BIOPHARMA INC","state":"CO"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598711160","manufacturer_id":"100000231820","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T00:01:39.462736+00:00","recorded_at":"2026-06-14T00:01:39.462736+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"7cb0095a-4b1a-4241-8204-700375e8a00f","entity_type":"organization","display_name":"SEAGEN INC.","state":"WA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598711160","manufacturer_id":"100000000279","nature_of_payment":"Education"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T00:42:32.078299+00:00","recorded_at":"2026-06-14T00:42:32.078299+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"a3316563-d7bf-4fd9-83d3-00b6969948d4","entity_type":"organization","display_name":"Astellas Pharma Global Development","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":"1598711160","manufacturer_id":"100000005406","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T00:53:36.106732+00:00","recorded_at":"2026-06-14T00:53:36.106732+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":"1598711160","manufacturer_id":"100000000066","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:14:23.193849+00:00","recorded_at":"2026-06-14T01:14:23.193849+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"a6bd1a52-0325-495b-abe2-f95c784b2df2","entity_type":"organization","display_name":"Exelixis 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":"1598711160","manufacturer_id":"100000010545","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:19:04.458396+00:00","recorded_at":"2026-06-14T02:19:04.458396+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":"1598711160","manufacturer_id":"100000000137","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:28:29.679757+00:00","recorded_at":"2026-06-14T02:28:29.679757+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"41246db2-251b-419d-a2ce-f6416478c76c","entity_type":"organization","display_name":"SOBI, INC","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":"1598711160","manufacturer_id":"100000011178","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:06:40.852936+00:00","recorded_at":"2026-06-14T03:06:40.852936+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"fff02ddf-93be-4058-b845-b2f600d8d134","entity_type":"organization","display_name":"Merck Sharp & Dohme 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":"1598711160","manufacturer_id":"100000000053","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:16:37.134687+00:00","recorded_at":"2026-06-14T03:16:37.134687+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"dfaa3321-21cb-45b5-be4e-88a20913d837","entity_type":"organization","display_name":"Aveo Pharmaceuticals, Inc.","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":"1598711160","manufacturer_id":"100000971865","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:46:34.422315+00:00","recorded_at":"2026-06-14T03:46:34.422315+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"49420e0f-1462-455c-ba6a-13e9baa0bd3d","entity_type":"organization","display_name":"Solventum Corporation","state":"MN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598711160","manufacturer_id":"100001447055","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:54:19.593516+00:00","recorded_at":"2026-06-14T03:54:19.593516+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"31384798-11fe-45d2-adbf-e206773f3ed2","entity_type":"organization","display_name":"Galvanize Therapeutics, 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":"1598711160","manufacturer_id":"100001176960","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:58:13.591852+00:00","recorded_at":"2026-06-14T03:58:13.591852+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"af77e147-a7dd-476c-8821-d21932c1760d","entity_type":"organization","display_name":"Takeda Pharmaceuticals U.S.A., Inc.","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":"1598711160","manufacturer_id":"100000000337","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:04:09.056494+00:00","recorded_at":"2026-06-14T04:04:09.056494+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"fa8b1034-0dbb-4391-b3b1-63798029eda8","entity_type":"organization","display_name":"SERVIER PHARMACEUTICALS LLC","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":"1598711160","manufacturer_id":"100000246816","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:44:00.560925+00:00","recorded_at":"2026-06-14T04:44:00.560925+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"d0650cdb-de76-4c71-be64-ee6d20f5290f","entity_type":"organization","display_name":"Coherus Biosciences 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":"1598711160","manufacturer_id":"100000506819","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:44:28.135909+00:00","recorded_at":"2026-06-14T04:44:28.135909+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"e4f9e224-dcd5-473e-bbd1-0d84170393c9","entity_type":"organization","display_name":"Tempus AI, 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":"1598711160","manufacturer_id":"100001351985","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:22:21.438688+00:00","recorded_at":"2026-06-14T05:22:21.438688+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"6335851a-dd1d-44ae-901a-63c1923f70ac","entity_type":"organization","display_name":"JAZZ PHARMACEUTICALS 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":"1598711160","manufacturer_id":"100000005637","nature_of_payment":"Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:23:54.501041+00:00","recorded_at":"2026-06-14T05:23:54.501041+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"48b95d42-48d7-4fad-9a2d-cc978e630022","entity_type":"organization","display_name":"Sanara MedTech Inc.","state":"TX"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1598711160","manufacturer_id":"100000581811","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:39:47.18628+00:00","recorded_at":"2026-06-14T06:39:47.18628+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}