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Revalidation record

Anesthesia Dynamics Llc — revalidation due 2026-01-31

past duemay be stale

NPI 1073001012 · Non-DME Part B · AZ · Enrollment ID O20190327002249

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

This NPI has 13 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20190327002249AZ855B2026-01-31
O20190820001117FL855B2026-02-28
O20191011000052IN855B2026-03-31
O20200422002521TX855B2026-04-30
O20200508002106GA855B2026-05-31
O20200801000026TN855B2026-06-30
O20201002002223WA855B2026-08-31
O20201013000268OH855B2026-09-30
O20201020000054CO855B2026-10-31
O20201020002548LA855B2027-02-28
O20210104001507KY855BTBD
O20210305001705VA855BTBD
O20180828001262MD855B2024-06-30
Revalidation due
2026-01-31
Form to file
855B

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

CMS published a due date of 2026-01-31 (272 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.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-01-31

Not an official CMS system. Verify before filing.

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