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Revalidation record

Audiology Distribution Llc — revalidation due 2026-01-31

past duemay be stale

NPI 1164707998 · Non-DME Part B · OR · Enrollment ID O20190418000311

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

This NPI has 23 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20190418000311OR855B2026-01-31
O20200415001634DC855B2026-02-28
O20200427000162WA855B2026-06-30
O20200515000225CO855B2026-07-31
O20120522000729PA855B2026-08-31
O20130111000219WV855B2026-09-30
O20120917000594NC855BTBD
O20120918000879OH855BTBD
O20121116000401AZ855BTBD
O20121210000218KS855BTBD
O20150918000111TX855BTBD
O20180604000181MT855BTBD
O20241121002140MN855BTBD
O20241209002010MD855BTBD
O20250304004097GA855BTBD
O20250401003524NM855BTBD
O20120307000106NJ855B2023-12-31
O20120514000003NY855B2024-01-31
O20120514000578FL855B2024-01-31
O20140515001830IL855B2024-02-29
O20180502001147CA855B2024-07-31
O20120814000185MI855B2025-06-30
O20120919000622MA855B2025-07-31
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.

Get the rescue checklist — $350Estimate my cycle end

What changed, month by month

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

Not an official CMS system. Verify before filing.

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