{"entity":{"entity_id":"8736399a-a2ed-4044-83f9-987f71e6a5a4","entity_type":"person","display_name":"ROSHAN SHRESTHA","state":"GA","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T08:35:54.42535+00:00","updated_at":"2026-06-11T08:35:54.42535+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"19046","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1427191782","rule":"D-OP-NPI","recipient_profile_id":"19046"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T06:23:35.291438+00:00","recorded_at":"2026-06-13T06:23:35.291438+00:00"},{"id_scheme":"npi","id_value":"1427191782","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1427191782","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T08:35:55.357296+00:00","recorded_at":"2026-06-11T08:35:55.357296+00:00"},{"id_scheme":"pac_id","id_value":"0143204156","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1427191782","rule":"D-PECOS","enrlmt_id":"I20051005000561","pecos_asct_cntl_id":"0143204156"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T17:50:59.295295+00:00","recorded_at":"2026-06-12T17:50:59.295295+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20051005000561","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1427191782","rule":"D-PECOS","enrlmt_id":"I20051005000561"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T17:50:59.295295+00:00","recorded_at":"2026-06-12T17:50:59.295295+00:00"}],"edges":[{"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":"1427191782","manufacturer_id":"100000000123","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:13:21.992553+00:00","recorded_at":"2026-06-13T15:13:21.992553+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":"1427191782","manufacturer_id":"100000005674","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:17:25.004056+00:00","recorded_at":"2026-06-13T15:17:25.004056+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"ac235963-d15e-4d96-a54a-15a7587c1742","entity_type":"organization","display_name":"Alexion 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":"1427191782","manufacturer_id":"100000005462","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:29:01.491388+00:00","recorded_at":"2026-06-13T15:29:01.491388+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"49d586d4-9a37-4255-9b2c-bb83545b43e5","entity_type":"organization","display_name":"Intercept 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":"1427191782","manufacturer_id":"100000151645","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:29:50.272923+00:00","recorded_at":"2026-06-13T20:29:50.272923+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"17e51dbe-d1c2-46f2-af36-62ff28d9711e","entity_type":"organization","display_name":"Delcath Systems","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":"1427191782","manufacturer_id":"100001449062","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:47:51.051565+00:00","recorded_at":"2026-06-13T23:47:51.051565+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":"1427191782","manufacturer_id":"100000000108","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":"2026-06-14T00:59:01.623335+00:00","recorded_at":"2026-06-14T00:59:01.623335+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"20bb1a5f-82d8-4250-9b55-08fa8a5238bd","entity_type":"organization","display_name":"Ambu 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":"1427191782","manufacturer_id":"100000151688","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:08:17.185627+00:00","recorded_at":"2026-06-14T01:08:17.185627+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":"1427191782","manufacturer_id":"100000000337","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:12:22.32276+00:00","recorded_at":"2026-06-14T02:12:22.32276+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"333b36c1-8bc8-4f29-9c03-0368d83878d6","entity_type":"organization","display_name":"W. L. Gore & Associates, Inc.","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":"1427191782","manufacturer_id":"100000010774","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:59:46.27163+00:00","recorded_at":"2026-06-14T04:59:46.27163+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":"1427191782","manufacturer_id":"100000226817","nature_of_payment":"Compensation for serving as faculty or as a speaker for a medical education program"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:11:35.372832+00:00","recorded_at":"2026-06-14T06:11:35.372832+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"6226f6e0-3ca1-4900-9263-292e84bffd29","entity_type":"organization","display_name":"ORPHALAN 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":"1427191782","manufacturer_id":"100001351950","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:36:51.845163+00:00","recorded_at":"2026-06-14T06:36:51.845163+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"bf3734f4-4e4f-40ae-b640-bf98463047cb","entity_type":"organization","display_name":"HISTOSONICS, 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":"1427191782","manufacturer_id":"100001448261","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:37:05.390907+00:00","recorded_at":"2026-06-14T06:37:05.390907+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}