{"entity":{"entity_id":"318929a8-860c-43e9-91d7-5bedf395fe62","entity_type":"person","display_name":"AMER KARAM","state":"CA","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T19:10:26.109224+00:00","updated_at":"2026-06-11T19:10:26.109224+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"501290","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1851308860","rule":"D-OP-NPI","recipient_profile_id":"501290"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T08:44:04.352001+00:00","recorded_at":"2026-06-13T08:44:04.352001+00:00"},{"id_scheme":"npi","id_value":"1851308860","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1851308860","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T19:10:27.015168+00:00","recorded_at":"2026-06-11T19:10:27.015168+00:00"},{"id_scheme":"pac_id","id_value":"4284705633","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1851308860","rule":"D-PECOS","enrlmt_id":"I20080612000641","pecos_asct_cntl_id":"4284705633"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:16:03.277871+00:00","recorded_at":"2026-06-12T18:16:03.277871+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20080612000641","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1851308860","rule":"D-PECOS","enrlmt_id":"I20080612000641"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:16:03.277871+00:00","recorded_at":"2026-06-12T18:16:03.277871+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"889ae6a2-3123-4e1e-b6ad-d94ae1dbd1c4","entity_type":"organization","display_name":"Ethicon US, LLC","state":"OH"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1851308860","manufacturer_id":"100000061307","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:47:58.857407+00:00","recorded_at":"2026-06-13T13:47:58.857407+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":"1851308860","manufacturer_id":"100000000146","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:55:29.324294+00:00","recorded_at":"2026-06-13T18:55:29.324294+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":"1851308860","manufacturer_id":"100000005449","nature_of_payment":"Education"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:59:01.593813+00:00","recorded_at":"2026-06-13T20:59:01.593813+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"8d2feb64-2fc7-4b3f-a99d-1934bf38130b","entity_type":"organization","display_name":"EMD Serono Research & Development Institute, 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":"1851308860","manufacturer_id":"100000196820","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:52:52.931922+00:00","recorded_at":"2026-06-13T22:52:52.931922+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"a8110fb6-2b72-4d49-8e53-ba2531cf77e4","entity_type":"organization","display_name":"INTUITIVE SURGICAL, 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":"1851308860","manufacturer_id":"100000005384","nature_of_payment":"Education"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:59:38.114147+00:00","recorded_at":"2026-06-14T01:59:38.114147+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":"1851308860","manufacturer_id":"100000000053","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:09:57.620753+00:00","recorded_at":"2026-06-14T03:09:57.620753+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}