Revalidation record
Active Health Clinics — revalidation due 2025-10-31
past duemay be staleNPI 1215582333 · DME · IA · Enrollment ID O20200602002621
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 2 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20200602002621 | IA | 855S | 2025-10-31 |
| O20191106002452 | IA | 855B | 2025-07-31 |
- Revalidation due
- 2025-10-31
- Form to file
- 855S
DMEPOS suppliers file CMS-855S.
CMS published a due date of 2025-10-31 (364 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 | 2025-10-31 |
Not an official CMS system. Verify before filing.
All IA revalidation dates for October 2026Where this date comes from