Cross-source identifiers
Every current identifier attachment, with the link method and confidence carried verbatim — deterministic links are 1.000; probabilistic links surface their real matcher confidence, never rounded up.
| Scheme | Value | Source table | Link method | Confidence | Since | Provenance |
|---|---|---|---|---|---|---|
| cms_op_profile_id | 478073 | cms_open_payments | exact_npi_in_open_payments | 1.000 | 2026-06-13 | evidencerecorded: 2026-06-13 methodology: entity-graph/v1 evidence: {"npi":"1023010592","rule":"D-OP-NPI","recipient_profile_id":"478073"} |
| npi | 1023010592 | nppes_providers | deterministic_pk | 1.000 | 2026-06-11 | evidencerecorded: 2026-06-11 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1023010592","entity_type_code":"1"} |
| pac_id | 5496855793 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1023010592","rule":"D-PECOS","enrlmt_id":"I20070716000713","pecos_asct_cntl_id":"5496855793"} |
| pecos_enrlmt_id | I20231128003441 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1023010592","rule":"D-PECOS","enrlmt_id":"I20231128003441"} |
| pecos_enrlmt_id | I20240808003998 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1023010592","rule":"D-PECOS","enrlmt_id":"I20240808003998"} |
| pecos_enrlmt_id | I20241030004419 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1023010592","rule":"D-PECOS","enrlmt_id":"I20241030004419"} |
| pecos_enrlmt_id | I20241210004681 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1023010592","rule":"D-PECOS","enrlmt_id":"I20241210004681"} |
| pecos_enrlmt_id | I20070716000713 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1023010592","rule":"D-PECOS","enrlmt_id":"I20070716000713"} |
| pecos_enrlmt_id | I20220819000258 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1023010592","rule":"D-PECOS","enrlmt_id":"I20220819000258"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← pays | Otsuka America Pharmaceutical, Inc. (MD) | 1.000 | cms_open_payments | evidencerecorded: 2026-06-13 methodology: entity-graph/v1 attributes: {"source":"cms_open_payments"} evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1023010592","manufacturer_id":"100000010723","nature_of_payment":"Food and Beverage"} |
| ← pays | Lundbeck LLC (IL) | 1.000 | cms_open_payments | evidencerecorded: 2026-06-14 methodology: entity-graph/v1 attributes: {"source":"cms_open_payments"} evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1023010592","manufacturer_id":"100000000236","nature_of_payment":"Food and Beverage"} |
| ← pays | Teva Pharmaceuticals USA, Inc. (NJ) | 1.000 | cms_open_payments | evidencerecorded: 2026-06-14 methodology: entity-graph/v1 attributes: {"source":"cms_open_payments"} evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1023010592","manufacturer_id":"100000000141","nature_of_payment":"Food and Beverage"} |
| owns → | LESLIE LAKES CARE CENTER, LLC (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/09/2017","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496855793","source_pk":14405,"type_owner":"I","enrollment_id":"O20040129000042","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"LESLIE LAKES CARE CENTER, LLC"} |
| owns → | NW LA WAR VETERANS HOME (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"25","association_date":"01/01/2021","percentage_ownership":4} evidence: {"rule":"D-OWNER","owner_pac":"5496855793","source_pk":45312,"type_owner":"I","enrollment_id":"O20070207000693","role_code_owner":"25","role_text_owner":"CONTRACTED MANAGING EMPLOYEE","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":4,"enrollment_organization_name":"NW LA WAR VETERANS HOME"} |
| owns → | MAGNOLIA MANOR NURSING & REHAB CNTR LLC (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/03/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496855793","source_pk":101037,"type_owner":"I","enrollment_id":"O20110509000330","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MAGNOLIA MANOR NURSING & REHAB CNTR LLC"} |
| owns → | PMG OPCO-SPRINGLAKE LLC (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"07/02/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496855793","source_pk":189522,"type_owner":"I","enrollment_id":"O20190425000544","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-SPRINGLAKE LLC"} |
| owns → | PMG OPCO-PILGRIM LLC (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/17/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496855793","source_pk":189695,"type_owner":"I","enrollment_id":"O20190426001332","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-PILGRIM LLC"} |
| owns → | PMG OPCO-COLONIAL LLC (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496855793","source_pk":190059,"type_owner":"I","enrollment_id":"O20190509001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-COLONIAL LLC"} |
| owns → | PMG OPCO-BRADFORD LLC (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/15/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496855793","source_pk":190129,"type_owner":"I","enrollment_id":"O20190510000057","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-BRADFORD LLC"} |
| owns → | SHELL LAKE SNF LLC (WI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496855793","source_pk":211484,"type_owner":"I","enrollment_id":"O20210728000409","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"SHELL LAKE SNF LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
provider · 1023010592 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| credential | M.D. | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| enumeration_date | 2005-08-12 | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| first_name | DAVID | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| last_name | COLVIN | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| practice_state | LA | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| primary_taxonomy | 207Q00000X | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| years_active | 20 years | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
Provider screening signals
NPI-keyed source families read directly for 1023010592: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Cells expose the source and provenance fields supplied by the selected record. A screening aid — re-confirm any match against the primary source before acting; absence means nothing on file in the data Fonteum currently holds, never a guarantee none exists.
Sanctions & integrity
Coverage staleExclusion coverage is stale or cannot be reconciled to an attested source artifact. This result is indeterminate and must not be treated as a clearance; check the current issuing-agency lists.
- Coverage status: indeterminate
- Screened 26 integrity lists; no negative determination was made.
14-tuple provenance (26)
Industry payments
On file4 CMS Open Payments records on file. Ask Fonteum for the largest payments and a cited total.
14-tuple provenance (1)
Order & referring eligibility
On fileOn the CMS Order and Referring roster — eligible to order and refer in 5 of 5 Medicare benefit categories.
- Part B: Y
- DME: Y
- HHA: Y
- PMD: Y
- Hospice: Y
14-tuple provenance (1)
Medicare opt-out
None on fileNo CMS Medicare opt-out affidavit on file for this NPI.
14-tuple provenance (1)
Revalidation
On file6 Medicare enrollment records on file.
- Due date: TBD upstream — not due within the ensuing six months.
14-tuple provenance (1)
Point-in-time
Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.
Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…