{"entity":{"entity_id":"ae748429-7da1-4538-83dc-365d0bd71905","entity_type":"person","display_name":"LAKSHMY AYYAR","state":"TX","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T08:18:06.763435+00:00","updated_at":"2026-06-11T08:18:06.763435+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"886680","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1396991170","rule":"D-OP-NPI","recipient_profile_id":"886680"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T06:15:47.120431+00:00","recorded_at":"2026-06-13T06:15:47.120431+00:00"},{"id_scheme":"npi","id_value":"1396991170","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1396991170","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T08:18:08.570688+00:00","recorded_at":"2026-06-11T08:18:08.570688+00:00"},{"id_scheme":"pac_id","id_value":"9830313246","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1396991170","rule":"D-PECOS","enrlmt_id":"I20140604002151","pecos_asct_cntl_id":"9830313246"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T19:27:07.251756+00:00","recorded_at":"2026-06-12T19:27:07.251756+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20140604002151","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1396991170","rule":"D-PECOS","enrlmt_id":"I20140604002151"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T19:27:07.251756+00:00","recorded_at":"2026-06-12T19:27:07.251756+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"cfd2fb02-8c3b-4b2e-bfb0-2f024507d050","entity_type":"organization","display_name":"Actelion Pharmaceuticals US, 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":"1396991170","manufacturer_id":"100000010813","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:17:20.119753+00:00","recorded_at":"2026-06-13T14:17:20.119753+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"53b2d8c4-2bb8-41b7-9616-44b3f5d66569","entity_type":"organization","display_name":"Novartis Pharmaceuticals Corporation","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":"1396991170","manufacturer_id":"100000000228","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:47:54.261244+00:00","recorded_at":"2026-06-13T14:47:54.261244+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"f0506086-d726-46e3-be97-a8dc7893af4c","entity_type":"organization","display_name":"Insmed, 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":"1396991170","manufacturer_id":"100000461811","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:08:46.618891+00:00","recorded_at":"2026-06-13T15:08:46.618891+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":"1396991170","manufacturer_id":"100000000146","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:29:51.578072+00:00","recorded_at":"2026-06-13T18:29:51.578072+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":"1396991170","manufacturer_id":"100000000203","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:16:13.070543+00:00","recorded_at":"2026-06-13T20:16:13.070543+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"e3305284-4049-4dac-8981-81e89a770aef","entity_type":"organization","display_name":"Paratek 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":"1396991170","manufacturer_id":"100000476817","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:31:05.655242+00:00","recorded_at":"2026-06-13T20:31:05.655242+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"3204432a-bf83-499f-a722-468afb8d7831","entity_type":"organization","display_name":"Regeneron Healthcare Solutions, 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":"1396991170","manufacturer_id":"100000136416","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:33:14.4071+00:00","recorded_at":"2026-06-13T20:33:14.4071+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":"1396991170","manufacturer_id":"100000005449","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:52:25.611697+00:00","recorded_at":"2026-06-13T20:52:25.611697+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"07812b9f-0552-4b8e-bb36-166c62c54497","entity_type":"organization","display_name":"Alcresta Therapeutics, 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":"1396991170","manufacturer_id":"100000196817","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:04:21.556081+00:00","recorded_at":"2026-06-13T23:04:21.556081+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":"1396991170","manufacturer_id":"100000010680","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:14:35.880235+00:00","recorded_at":"2026-06-13T23:14:35.880235+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"a9713340-649e-4221-8fdf-d1d3725ad644","entity_type":"organization","display_name":"Pharming Healthcare, 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":"1396991170","manufacturer_id":"100000151690","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T00:48:42.976445+00:00","recorded_at":"2026-06-14T00:48:42.976445+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"8c43f3a2-c190-4c53-9951-873c1b54cfcb","entity_type":"organization","display_name":"Gilead Sciences, 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":"1396991170","manufacturer_id":"100000000108","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:03:41.636236+00:00","recorded_at":"2026-06-14T01:03:41.636236+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"08ab02cf-25b8-4e12-8279-e13f4e7ea09a","entity_type":"organization","display_name":"GENZYME 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":"1396991170","manufacturer_id":"100000000297","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:46:55.414243+00:00","recorded_at":"2026-06-14T02:46:55.414243+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"345f515c-d1e0-4cac-9650-ea43224f92ae","entity_type":"organization","display_name":"Mallinckrodt Hospital Products Inc.","state":"MO"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1396991170","manufacturer_id":"100000826829","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:06:18.555273+00:00","recorded_at":"2026-06-14T04:06:18.555273+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"3d1bcf66-fec4-482b-8dfe-b1b7057302ca","entity_type":"organization","display_name":"Philips North America 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":"1396991170","manufacturer_id":"100000000198","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:36:11.671666+00:00","recorded_at":"2026-06-14T04:36:11.671666+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"f921906d-f707-431e-beed-6b0c7c3667c2","entity_type":"organization","display_name":"Mylan Specialty L.P.","state":"WV"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1396991170","manufacturer_id":"100000005573","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:44:54.522991+00:00","recorded_at":"2026-06-14T04:44:54.522991+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"af5c6c32-942e-4c40-8ddc-498fdeab4da3","entity_type":"organization","display_name":"Inspire Medical Systems, Inc.","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":"1396991170","manufacturer_id":"100000061308","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:57:23.52728+00:00","recorded_at":"2026-06-14T04:57:23.52728+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"6610486c-4e48-4e54-a01c-87c75b4d44d7","entity_type":"organization","display_name":"Axsome Therapeutics, 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":"1396991170","manufacturer_id":"100001111886","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:02:11.193446+00:00","recorded_at":"2026-06-14T05:02:11.193446+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":"1396991170","manufacturer_id":"100000005637","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:23:43.687948+00:00","recorded_at":"2026-06-14T05:23:43.687948+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}