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 | 274080 | cms_open_payments | exact_npi_in_open_payments | 1.000 | 2026-06-13 | evidencerecorded: 2026-06-13 methodology: entity-graph/v1 evidence: {"npi":"1033135991","rule":"D-OP-NPI","recipient_profile_id":"274080"} |
| npi | 1033135991 | nppes_providers | deterministic_pk | 1.000 | 2026-06-11 | evidencerecorded: 2026-06-11 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1033135991","entity_type_code":"1"} |
| pac_id | 6507827953 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1033135991","rule":"D-PECOS","enrlmt_id":"I20100304000643","pecos_asct_cntl_id":"6507827953"} |
| pecos_enrlmt_id | I20100304000643 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-12 | evidencerecorded: 2026-06-12 methodology: entity-graph/v1 evidence: {"npi":"1033135991","rule":"D-PECOS","enrlmt_id":"I20100304000643"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← pays | Otsuka Pharmaceutical Co., Ltd. | 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":"1033135991","manufacturer_id":"100000000112","nature_of_payment":"Travel and Lodging"} |
| ← pays | E.R. Squibb & Sons, L.L.C. (NJ) | 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":"1033135991","manufacturer_id":"100000005499","nature_of_payment":"Consulting Fee"} |
| ← pays | Eisai Inc. (NJ) | 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":"1033135991","manufacturer_id":"100000000136","nature_of_payment":"Consulting Fee"} |
| ← pays | Otsuka Pharmaceutical Development & Commercialization, Inc. (NJ) | 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":"1033135991","manufacturer_id":"100000010725","nature_of_payment":"Consulting Fee"} |
| ← 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":"1033135991","manufacturer_id":"100000010723","nature_of_payment":"Food and Beverage"} |
| ← pays | Takeda Pharmaceuticals U.S.A., Inc. (MA) | 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":"1033135991","manufacturer_id":"100000000337","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":"1033135991","manufacturer_id":"100000000236","nature_of_payment":"Honoraria"} |
| ← pays | Axsome Therapeutics, Inc. (NY) | 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":"1033135991","manufacturer_id":"100001111886","nature_of_payment":"Food and Beverage"} |
| owns → | DELMAR GARDENS OF O'FALLON, LLC (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"09/24/2004","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":23577,"type_owner":"I","enrollment_id":"O20041020000230","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS OF O'FALLON, LLC"} |
| owns → | DELMAR GARDENS OF SMYRNA, LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/14/2003","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":26555,"type_owner":"I","enrollment_id":"O20050309000762","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS OF SMYRNA, LLC"} |
| owns → | DELMAR GARDENS ON THE GREEN OPERATING, LLC (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/07/2003","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":26575,"type_owner":"I","enrollment_id":"O20050309000773","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS ON THE GREEN OPERATING, LLC"} |
| owns → | DELMAR GARDENS OF MERAMEC VALLEY OPERATING, LLC (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/07/2003","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":26596,"type_owner":"I","enrollment_id":"O20050309000802","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS OF MERAMEC VALLEY OPERATING, LLC"} |
| owns → | DELMAR GARDENS OF OVERLAND PARK OPERATING, LLC (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/11/2003","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":26615,"type_owner":"I","enrollment_id":"O20050309000811","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS OF OVERLAND PARK OPERATING LLC"} |
| owns → | DELMAR GARDENS OF OMAHA, LLC (NE) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/12/2003","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":26636,"type_owner":"I","enrollment_id":"O20050309000820","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS OF OMAHA, LLC"} |
| owns → | DELMAR GARDENS OF GWINNETT OPERATING, LLC (GA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/14/2003","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":26738,"type_owner":"I","enrollment_id":"O20050322000969","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS OF GWINNETT OPERATING LLC"} |
| owns → | DELMAR GARDENS OF CREVE COEUR OPERATING, LLC (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/07/2003","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":26806,"type_owner":"I","enrollment_id":"O20050322001058","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS OF CREVE COEUR OPERATING, LLC"} |
| owns → | DELMAR GARDENS WEST OPERATING, LLC (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/07/2003","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":26827,"type_owner":"I","enrollment_id":"O20050322001111","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS WEST OPERATING, LLC"} |
| owns → | DELMAR GARDENS NORTH OPERATING, LLC (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"04/16/2003","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":26849,"type_owner":"I","enrollment_id":"O20050322001132","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS NORTH OPERATING, LLC"} |
| owns → | DELMAR GARDENS OF CHESTERFIELD OPERATING, LLC (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"02/18/2005","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":26870,"type_owner":"I","enrollment_id":"O20050322001144","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS OF CHESTERFIELD OPERATING, LLC"} |
| owns → | DELMAR GARDENS OF SOUTH COUNTY, INC. (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"10/31/1997","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":106586,"type_owner":"I","enrollment_id":"O20111115000075","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS OF SOUTH COUNTY, INC."} |
| owns → | DELMAR GARDENS OF LENEXA OPERATING, LLC (KS) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"03/11/2003","percentage_ownership":11.33} evidence: {"rule":"D-OWNER","owner_pac":"6507827953","source_pk":111814,"type_owner":"I","enrollment_id":"O20120112000388","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":11.33,"enrollment_organization_name":"DELMAR GARDENS OF LENEXA OPERATING, LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
provider · 1033135991 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| credential | MD | 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 | 2006-07-14 | 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 | GEORGE | 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 | GROSSBERG | 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 | MO | 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 | 2084P0800X | 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 | 19 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 1033135991: 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 file124 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 file1 Medicare enrollment record 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=…