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Revalidation record

Menalam Health Services Pc — revalidation due 2026-07-31

past duemay be stale

NPI 1003779596 · Non-DME Part B · CA · Enrollment ID O20210712002579

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 27 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20210712002579CA855B2026-07-31
O20260127004132KY855BTBD
O20260128001140MS855BTBD
O20260128001754CO855BTBD
O20260128002843OK855BTBD
O20260129000433TX855BTBD
O20260129000880MN855BTBD
O20260129001957NY855BTBD
O20260202001707AZ855BTBD
O20260203001295PA855BTBD
O20260203002544NJ855BTBD
O20260203003399DE855BTBD
O20260203003635IL855BTBD
O20260204001138MD855BTBD
O20260204002348HI855BTBD
O20260204002503WA855BTBD
O20260205000206OR855BTBD
O20260205002791NC855BTBD
O20260205003405VA855BTBD
O20260206002343MA855BTBD
O20260212000511FL855BTBD
O20260213001937KS855BTBD
O20260223001782MI855BTBD
O20260223003795DC855BTBD
O20260309002771AL855BTBD
O20260407002150IN855BTBD
O20260720001755GA855BTBD
Revalidation due
2026-07-31
Form to file
855B

Clinics, group practices, and other organizational suppliers file CMS-855B.

CMS published a due date of 2026-07-31 (90 days ago). We cannot tell from the file whether you completed this.

CMS may deactivate billing privileges when a full and accurate application isn't received within 90 days (42 CFR 424.540(a)(3)). Claims are denied while deactivated. Reactivation is effective the day CMS receives your application — it is not retroactive.

Get the rescue checklist — $350Estimate my cycle end

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-07-31

Not an official CMS system. Verify before filing.

All CA revalidation dates for October 2026Where this date comes from