Revalidation record

Decatur Memorial Hospital — revalidation due 2026-12-31

on list

NPI 1164477725 · Non-DME Part B · IL · Enrollment ID O20031203000685

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

This NPI has 4 enrollments. They stay separate. The detail below is the one to look at first.

Enrollment	State	Form	Due
O20031203000685	IL	855B	2026-12-31
O20031208000534	IL	855B	TBD
O20260422002135	NH	855B	TBD
O20260513000865	FL	855B	TBD

Revalidation due: 2026-12-31
Form to file: 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.

This NPI's revalidation is due 2026-12-31 — in 63 days.

CMS listed this date in the public file. It can still move next month.

What changed, month by month

Snapshot	Due date on the CMS file
2026-10	2026-12-31

Not an official CMS system. Verify before filing.