Revalidation record
Saint Lukes Physician Group Inc — revalidation due 2026-07-31
past duemay be staleNPI 1093263717 · Non-DME Part B · NC · Enrollment ID O20210728001100
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 11 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20210728001100 | NC | 855B | 2026-07-31 |
| O20031111000818 | MO | 855B | 2027-01-31 |
| O20050302000266 | KS | 855B | TBD |
| O20220309003211 | TX | 855B | TBD |
| O20240617002497 | VA | 855B | TBD |
| O20240813002358 | FL | 855B | TBD |
| O20250122001116 | CA | 855B | TBD |
| O20250313000633 | GA | 855B | TBD |
| O20250819005167 | AL | 855B | TBD |
| O20250916001734 | IL | 855B | TBD |
| O20251124004130 | OR | 855B | TBD |
- 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.
What changed, month by month
| Snapshot | Due date on the CMS file |
|---|---|
| 2026-10 | 2026-07-31 |
Not an official CMS system. Verify before filing.
All NC revalidation dates for October 2026Where this date comes from