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Revalidation record

Perry Medical Group Of Florida Pa — revalidation due 2026-08-31

past duemay be stale

NPI 1194394833 · Non-DME Part B · NY · Enrollment ID O20210804003321

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

This NPI has 16 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20210804003321NY855B2026-08-31
O20230426000128FL855BTBD
O20230517001000GA855BTBD
O20230519001241TX855BTBD
O20230522002043NJ855BTBD
O20230522002786WY855BTBD
O20230728001850MS855BTBD
O20230809002195NC855BTBD
O20231003000213AR855BTBD
O20231110001938CA855BTBD
O20240206001686CO855BTBD
O20240207002807IL855BTBD
O20240208003912PA855BTBD
O20240927000681IN855BTBD
O20241024002934HI855BTBD
O20250226000604MA855BTBD
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.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-08-31

Not an official CMS system. Verify before filing.

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