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Revalidation record

Valley Radiology P A — revalidation due 2026-08-31

past duemay be stale

NPI 1093723538 · Non-DME Part B · NV · Enrollment ID O20210817003963

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

This NPI has 29 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20210817003963NV855B2026-08-31
O20210818002267PA855B2026-09-30
O20210823000089MD855B2026-10-31
O20040119000580NC855BTBD
O20221229002513HI855BTBD
O20240724002154WA855BTBD
O20240726001059FL855BTBD
O20240819001763CA855BTBD
O20240927001272UT855BTBD
O20240927001976AZ855BTBD
O20240930003032OH855BTBD
O20241003004181VA855BTBD
O20241022002854DC855BTBD
O20241023002047SC855BTBD
O20241031000639NY855BTBD
O20241115002710GA855BTBD
O20241204004082OK855BTBD
O20241210002797MA855BTBD
O20241210004288CO855BTBD
O20241227001447TN855BTBD
O20250116002743NM855BTBD
O20250123000187NH855BTBD
O20250128001097TX855BTBD
O20250402003215MO855BTBD
O20250516001580NJ855BTBD
O20250528002572IA855BTBD
O20251117003022KY855BTBD
O20251209000026AL855BTBD
O20260721003543AR855BTBD
Revalidation due
2026-08-31
Form to file
855B

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

CMS published a due date of 2026-08-31 (59 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
2026-102026-08-31

Not an official CMS system. Verify before filing.

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