Revalidation record
Mt Graham Regional Medical Center Inc — revalidation due 2026-12-31
on listNPI 1275588345 · Part A · AZ · Enrollment ID O20201016000847
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 3 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20201016000847 | AZ | 855A | 2026-12-31 |
| O20201020002698 | AZ | 855A | 2027-02-28 |
| O20040423000105 | AZ | 855B | TBD |
- Revalidation due
- 2026-12-31
- Form to file
- 855A
Institutional providers file CMS-855A.
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.
All AZ revalidation dates for October 2026Where this date comes from