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TERMINAL · ENTITY CARD · ORGANIZATION

FMHR LLC

Canonical entity in the resolved graph · FL · methodology entity-graph/v1 · 9adb842d-86af-42c8-a14b-ef93ab75218e

← Terminal searchEntity JSON
active

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.

Current identifier attachments with link confidence
SchemeValueSource tableLink methodConfidenceSinceProvenance
npi1720495120nppes_providersdeterministic_pk1.0002026-06-10
evidence
recorded: 2026-06-10
methodology: entity-graph/v1
evidence: {"rule":"D-NPI","source_pk":"1720495120","entity_type_code":"2"}
pac_id0840410551pecos_providersexact_npi_in_pecos1.0002026-06-16
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
evidence: {"npi":"1720495120","rule":"D-PECOS","enrlmt_id":"O20141001000597","pecos_asct_cntl_id":"0840410551"}
pecos_enrlmt_idO20141001000597pecos_providersexact_npi_in_pecos1.0002026-06-16
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
evidence: {"npi":"1720495120","rule":"D-PECOS","enrlmt_id":"O20141001000597"}

Graph edges

One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.

Current 1-hop graph edges
RelationshipEntityConfidenceSource tableProvenance
← ownsOWNER PAC 05477747621.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"0547774762","source_pk":140553,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 07497949641.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"0749794964","source_pk":140554,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 13558555781.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"1355855578","source_pk":140555,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 15578757701.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"1557875770","source_pk":140556,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 17598959721.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"1759895972","source_pk":140557,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 18508050781.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"1850805078","source_pk":140558,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsJONATHAN BURSTEIN1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"08/01/2018","percentage_ownership":18}
evidence: {"rule":"D-OWNER","owner_pac":"2163732199","source_pk":140559,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":18,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 3072027291 (IL)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"10/01/2018","percentage_ownership":4.5}
evidence: {"rule":"D-OWNER","owner_pac":"3072027291","source_pk":140563,"type_owner":"O","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":4.5,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 33750575991.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"3375057599","source_pk":140564,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 34760676951.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"3476067695","source_pk":140565,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 35770777911.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"3577077791","source_pk":140566,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsEDWIN ORTIZ1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"12/01/2021","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"3779801154","source_pk":140567,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsFOUNTAIN MANOR HOLDINGS LLC (FL)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"08/01/2018","percentage_ownership":50}
evidence: {"rule":"D-OWNER","owner_pac":"3870845472","source_pk":140569,"type_owner":"O","enrollment_id":"O20141001000597","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":50,"enrollment_organization_name":"FMHR LLC"}
← ownsSAMUEL CHAVIN1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"09/01/2014","percentage_ownership":32}
evidence: {"rule":"D-OWNER","owner_pac":"4880814599","source_pk":140570,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":32,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 51932393171.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"5193239317","source_pk":140574,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 52942494131.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"5294249413","source_pk":140575,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 53952595191.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"5395259519","source_pk":140576,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 54962696151.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"5496269615","source_pk":140577,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 5890209019 (IL)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"11/15/2022","percentage_ownership":0.9}
evidence: {"rule":"D-OWNER","owner_pac":"5890209019","source_pk":140578,"type_owner":"O","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":0.9,"enrollment_organization_name":"FMHR LLC"}
← ownsJILL TAPIA1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"35","association_date":"08/01/2018","percentage_ownership":10.2}
evidence: {"rule":"D-OWNER","owner_pac":"6002910031","source_pk":140579,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":10.2,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 64063606271.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"6406360627","source_pk":140580,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 69013101271.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"6901310127","source_pk":140581,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsDANIEL ROTH1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"40","association_date":"10/01/2023","percentage_ownership":100}
evidence: {"rule":"D-OWNER","owner_pac":"7113245101","source_pk":140582,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"FMHR LLC"}
← ownsALFREDO MELGAR (FL)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"63","association_date":"02/25/2019","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"8426114398","source_pk":140585,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"63","role_text_owner":"MANAGING CONTROL - GOVERNING BODY","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 86285828481.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"8628582848","source_pk":140587,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 87295929441.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"8729592944","source_pk":140588,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 89215121461.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"8921512146","source_pk":140589,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 90326232511.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"9032623251","source_pk":140590,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 97396939531.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"9739693953","source_pk":140591,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}
← ownsOWNER PAC 99316131551.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"86","association_date":"08/01/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"9931613155","source_pk":140592,"type_owner":"I","enrollment_id":"O20141001000597","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"FMHR LLC"}

Current record

Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.

org · 1720495120 JSON

Current claims for org 1720495120
MetricValueAssertedSource
dba_name<UNAVAIL>2026-06-10
Centers for Medicare & Medicaid Services
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
retrieved: 2026-06-10
sha256: 8b5267e250fd4df6…
claim API: JSON
enumeration_date2014-07-172026-06-10
Centers for Medicare & Medicaid Services
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
retrieved: 2026-06-10
sha256: 8b5267e250fd4df6…
claim API: JSON
legal_business_nameFMHR LLC2026-06-10
Centers for Medicare & Medicaid Services
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
retrieved: 2026-06-10
sha256: 8b5267e250fd4df6…
claim API: JSON
practice_stateFL2026-06-10
Centers for Medicare & Medicaid Services
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
retrieved: 2026-06-10
sha256: 8b5267e250fd4df6…
claim API: JSON
primary_taxonomy314000000X2026-06-10
Centers for Medicare & Medicaid Services
NPPES 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 1720495120: 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 stale

Exclusion 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.
Source:OIG LEIE +25 moreChecked 2026-09-20
14-tuple provenance (26)
OIG LEIE
source: HHS Office of Inspector General (LEIE)
dataset_id: oig-leie
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: US-Government-Works
coverage_start: 1977-10-25
coverage_end: ongoing
slsa_provenance_url: —
SAM.gov Exclusions
source: U.S. General Services Administration (GSA), System for Award Management (SAM.gov)
dataset_id: sam-gov-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: US-Government-Works
coverage_start: 2012-07-30
coverage_end: ongoing
slsa_provenance_url: —
NY Medicaid (OMIG)
source: NY Office of the Medicaid Inspector General (OMIG)
dataset_id: ny-omig-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: NY-OMIG-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
OH Medicaid (ODM)
source: Ohio Department of Medicaid (ODM)
dataset_id: oh-odm-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: OH-ODM-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
GA Medicaid (DCH OIG)
source: Georgia DCH Office of Inspector General
dataset_id: ga-dch-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: GA-DCH-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
PA Medicaid (Medicheck)
source: Pennsylvania Department of Human Services (DHS)
dataset_id: pa-dhs-medicheck
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: PA-DHS-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
NC Medicaid (DHHS)
source: NC DHHS, Division of Health Benefits (NC Medicaid)
dataset_id: nc-dhhs-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: NC-DHHS-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
MD Medicaid
source: Maryland Department of Health (MDH)
dataset_id: md-mdh-sanctioned
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: MD-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
WA Medicaid
source: Washington State Health Care Authority (HCA)
dataset_id: wa-hca-termination-exclusion
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: WA-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
IA Medicaid
source: Iowa Health and Human Services (Iowa Medicaid)
dataset_id: ia-medicaid-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: IA-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
MS Medicaid
source: Mississippi Division of Medicaid (DOM)
dataset_id: ms-dom-sanctioned
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: MS-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
MT Medicaid
source: Montana Department of Public Health and Human Services (DPHHS)
dataset_id: mt-dphhs-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: MT-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
CO Medicaid
source: Colorado Department of Health Care Policy & Financing (HCPF)
dataset_id: co-hcpf-terminations
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: CO-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
IN Medicaid
source: Indiana FSSA, Office of Medicaid Policy and Planning (OMPP)
dataset_id: in-ompp-terminations
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: IN-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
KS Medicaid
source: Kansas Department of Health and Environment, Division of Health Care Finance (KDHE-DHCF)
dataset_id: ks-kmap-terminations
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: KS-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
KY Medicaid
source: Kentucky CHFS, Department for Medicaid Services (DMS)
dataset_id: ky-dms-terminations
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: KY-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
NH Medicaid
source: New Hampshire Department of Health and Human Services (DHHS)
dataset_id: nh-dhhs-sanctions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: NH-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
ND Medicaid
source: North Dakota Health and Human Services (HHS), Medicaid Program Integrity
dataset_id: nd-hhs-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: ND-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
TN Medicaid
source: Tennessee TennCare, Office of Program Integrity
dataset_id: tn-tenncare-terminated
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: TN-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
MI Medicaid
source: Michigan Department of Health and Human Services (MDHHS), Medicaid Program Integrity
dataset_id: mi-mdhhs-sanctions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: MI-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
LA Medicaid
source: Louisiana Department of Health (LDH), Program Integrity
dataset_id: la-ldh-adverse-actions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: LA-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
SC Medicaid
source: South Carolina Department of Health and Human Services (SCDHHS), Program Integrity
dataset_id: sc-scdhhs-sanctioned
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: SC-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
MA Medicaid
source: Massachusetts MassHealth (EOHHS), Office of Program Integrity
dataset_id: ma-masshealth-exclusions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: MA-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
MO Medicaid
source: Missouri Medicaid Audit and Compliance (MMAC), Department of Social Services
dataset_id: mo-mmac-sanctions
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: MO-public-records
coverage_start: —
coverage_end: —
slsa_provenance_url: —
OIG CIA
source: HHS Office of Inspector General — Corporate Integrity Agreements
dataset_id: oig-cia
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: not_flagged, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: US-Government-Works
coverage_start: —
coverage_end: —
slsa_provenance_url: —
CMS Penalties
source: Centers for Medicare & Medicaid Services (CMS) — Civil Money Penalties
dataset_id: cms-cmp
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: not_flagged, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: US-Government-Works
coverage_start: —
coverage_end: —
slsa_provenance_url: —

Industry payments

None on file

0 CMS Open Payments records on file for this NPI.

Source:CMS Open PaymentsChecked 2026-09-20
14-tuple provenance (1)
CMS Open Payments
source: CMS Open Payments (Sunshine Act physician payment disclosures)
dataset_id: cms-open-payments
snapshot: —
methodology: open-payments/v1
last_checked: 2026-09-20T14:47:57.125Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: US-Government-Works
coverage_start: 2013-08-01
coverage_end: ongoing
slsa_provenance_url: —

Order & referring eligibility

None on file

No CMS Order and Referring record on file for this NPI.

Source:CMS Order and ReferringChecked 2026-09-20
14-tuple provenance (1)
CMS Order and Referring
source: Centers for Medicare & Medicaid Services (CMS)
dataset_id: cms-order-referring
snapshot: —
methodology: cms-order-referring/v1
last_checked: 2026-09-20T14:47:57.126Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: US-Government-Works
coverage_start: —
coverage_end: ongoing
slsa_provenance_url: —

Medicare opt-out

None on file

No CMS Medicare opt-out affidavit on file for this NPI.

Source:CMS Opt Out AffidavitsChecked 2026-09-20
14-tuple provenance (1)
CMS Opt Out Affidavits
source: Centers for Medicare & Medicaid Services (CMS)
dataset_id: cms-opt-out-affidavits
snapshot: —
methodology: cms-opt-out/v1
last_checked: 2026-09-20T14:47:57.126Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: US-Government-Works
coverage_start: 1998-01-01
coverage_end: ongoing
slsa_provenance_url: —

Revalidation

On file

1 Medicare enrollment record on file.

  • Due date: TBD upstream — not due within the ensuing six months.
Source:CMS Medicare Revalidation Due Date ListChecked 2026-09-20
14-tuple provenance (1)
CMS Medicare Revalidation Due Date List
source: Centers for Medicare & Medicaid Services (CMS)
dataset_id: cms-revalidation-due-dates
snapshot: —
methodology: v2026.05.0
last_checked: 2026-09-20T14:47:57.126Z
confidence: 1
data_availability: present, snapshot_date_unavailable
pipeline_version: b1fa680
doi: —
license: US-Government-Works
coverage_start: 2011-03-25
coverage_end: ongoing
slsa_provenance_url: —

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.

As of
Diff

Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…

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