Revalidation record
Arizona Diagnostic Radiology Group Llc — revalidation due 2026-07-31
past duemay be staleNPI 1336757699 · Non-DME Part B · AZ · Enrollment ID O20200805001519
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 19 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20200805001519 | AZ | 855B | 2026-07-31 |
| O20200901002520 | CA | 855B | 2026-08-31 |
| O20211028002494 | NY | 855B | 2026-10-31 |
| O20211110000910 | TN | 855B | 2026-11-30 |
| O20211201000212 | HI | 855B | TBD |
| O20220923001480 | CO | 855B | TBD |
| O20221213000314 | OH | 855B | TBD |
| O20221213001235 | TX | 855B | TBD |
| O20230126000207 | SC | 855B | TBD |
| O20230201000530 | FL | 855B | TBD |
| O20230502000089 | DC | 855B | TBD |
| O20230709000131 | ID | 855B | TBD |
| O20240926003413 | IL | 855B | TBD |
| O20241113004341 | IA | 855B | TBD |
| O20241230000893 | CT | 855B | TBD |
| O20250501001315 | WA | 855B | TBD |
| O20250701004648 | IN | 855B | TBD |
| O20250718000070 | FL | 855B | TBD |
| O20251203003637 | WI | 855B | TBD |
- Revalidation due
- 2026-07-31
- Form to file
- 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.
CMS published a due date of 2026-07-31 (90 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 | 2026-07-31 |
Not an official CMS system. Verify before filing.
All AZ revalidation dates for October 2026Where this date comes from